Difficulty: Medium
Average Score: 83%
Simulated
A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should the nurse take?
Correct answer
C
Rationale
The correct answer is C: Secure the restraints using a quick-release tie. This is the correct action because quick-release ties allow for rapid removal in case of an emergency, ensuring the client's safety. Choice A is incorrect because restraints should be removed every 2 hours, not 4. Choice B is incorrect as restraints should not be attached to the side rails to prevent injury. Choice D is incorrect as two fingers, not four, should fit under the restraints to ensure proper circulation.