💊 NCLEX-RN Exam Prep

A nurse is applying wrist restraints to a confused patient to prevent them from pulling out an IV line. Which action is essential to ensure patient safety and proper care?

A Secure the restraints tightly to prevent any movement of the patient's wrists.
B Tie the restraints to the side rails of the bed.
C Ensure two fingers can be inserted under the restraints and use a quick-release knot.
D Check neurovascular status of the restrained extremities every 4 hours.

✓ Correct Answer: Option C

Restraints should allow some movement without risk of self-injury, ensuring circulation isn't compromised. Using a quick-release knot is crucial for emergencies. Restraints should be tied to the bed frame, not side rails. Neurovascular checks should be more frequent.

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