BS Nursing Clinical Practicum
nmdcat.online June 6, 2026

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
  • Reassure the patient that they are being punished
  • Apply restraints loosely to prevent injury

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