Question

a nurse is caring for an older adult client who is violent and attempting to disconnect her iv lines. the provider prescribes soft wrist restraints. which of the following actions should the nurse take while the client is in restraints? tie the restraints to the side rails. perform range - of - motion exercises to the wrists every 3 hr. remove the restraints one at a time. obtain a prn prescription for the restraints.

Explanation:

Tying restraints to side - rails can cause injury if the side - rails are moved. Range - of - motion exercises should be done more frequently (at least every 2 hours). Restraints should not be PRN (as - needed) but prescribed for a specific reason and time. Removing restraints one at a time ensures client safety while still allowing for care and movement.

Answer:

C. Remove the restraints one at a time.