Final answer:
The client with a cervical fracture in a halo device should report any reddened or irritated skin areas and understand that the vest liner can be changed, but not be instructed on removing the pins themselves or encouraged to remain sedentary for extended periods.
Step-by-step explanation:
The nurse should instruct the client with a cervical fracture being discharged in a halo device on several important care guidelines. The proper teaching instruction to discuss with the client does not include how to remove the insertion pins themselves, as this is a procedure that must be done by a healthcare professional. Instead, the client should be instructed to report any reddened or irritated skin areas immediately as this may indicate complications such as infection or pressure sores. Additionally, while the halo vest liner can be uncomfortable, it is important for them to understand that the vest liner can be changed, but this must be done carefully and often with assistance to ensure the integrity and stability of the device. Lastly, the client should not be encouraged to remain sedentary. Active rehabilitation and movement, as advised by healthcare professionals, are important parts of recovery.