When restraints are applied, the nurse must assess the patient at minimum every:

A 8 hours

B 1 to 2 hours, checking circulation, sensation, movement, and skin integrity of restrained extremities

C Once per shift

D 24 hours

✓ Correct Answer: Option B

Restraint monitoring: q1-2h check circulation (pulses, capillary refill), sensation, movement, skin integrity. Offer food/fluids, toileting, repositioning. Release q2h. Least restrictive first. Physician order renewed per policy (q24h or sooner).

💡 Why is B) the correct answer?

The correct answer to the question "When restraints are applied, the nurse must assess the patient at minimum every:" is Option B: 1 to 2 hours, checking circulation, sensation, movement, and skin integrity of restrained extremities.

The other options — A) 8 hours, C) Once per shift, D) 24 hours — are incorrect for this NCLEX-RN Exam Prep question. As explained above: Restraint monitoring: q1-2h check circulation (pulses, capillary refill), sensation, movement, skin integrity. Offer food/fluids, toileting, repositioning. Release q2h. Least restrictive first. Physi…

📚 About This NCLEX-RN Exam Prep Practice Question

This 2-level NCLEX-RN Exam Prep question from the Psychosocial Integrity topic is part of BrainForge Quiz's free exam preparation library. Each question includes the correct answer and a detailed explanation to help you understand the underlying concept, not just memorize the answer.

How to use this page: Read the question above, consider all four options (A through D), then check the highlighted correct answer and explanation. For active timed practice, start a free NCLEX-RN Exam Prep practice test or use flashcards for spaced repetition review.

Practice NCLEX-RN Exam Prep Quizzes → Browse All Questions Study Flashcards

When restraints are applied, the nurse must assess the patient at minimum every:

✓ Correct Answer: Option B

📚 About This NCLEX-RN Exam Prep Practice Question

Related NCLEX-RN Exam Prep Questions