59. A patient is confused and attempts to climb out of bed, posing a fall risk. After exhausting less restrictive measures, the team decides to apply soft wrist restraints. What is a critical nursing responsibility immediately after applying restraints?
A.
Leave the patient unattended to rest
B.
Document the reason for restraint and ongoing assessment, and release criteria
✓
C.
Reassure the patient that they are being punished
D.
Apply restraints loosely to prevent injury
📖 Additional Information
Leave the patient unattended to rest
Document the reason for restraint and ongoing assessment, and release criteria