💊 NCLEX-RN Exam Prep

A confused patient repeatedly attempts to pull out their IV line. After exhausting less restrictive measures, the nurse applies wrist restraints. What is the priority nursing intervention after applying the restraints?

A Documenting the application time and type of restraint.
B Notifying the patient's family about the restraint use.
C Assessing skin integrity and circulation in the restrained extremities every 15 minutes.
D Obtaining a physician's order for the restraints within 24 hours.

✓ Correct Answer: Option C

After applying restraints, the immediate priority is to ensure the patient's physical safety by regularly assessing skin integrity, circulation, and range of motion to prevent injury or complications.

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