Difficulty: Medium
Average Score: 77%
Simulated
The nurse is required initially to restrain all four of a client's extremities. For which of the following reasons should the nurse anticipate the need to add a full-length restraint blanket?
Correct answer
C
Rationale
A full-length restraint blanket is used if the client is at risk for injury from fighting restraints, as it provides additional security to prevent harm. Client discomfort, staff protection, or perceived security are not primary indications for its use.