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he nurse reviews the nurses’ notes, flow sheet, and healthcare provider orders to develop the plan of care. Select the 6 actions or assessments that the nurse will complete to promote client safety. Remove the soft restraints every 2 hours. Ensure that the bed is placed in the highest position. Assess range of motion of the affected extremity. Evaluate for complications of sensory deprivation. Ensure soft restraints are secured to bed side rails. Obtain healthcare provider prescription for all four side rails to be raised. Encourage a family member to continue to stay with the client. Assess skin integrity, pulse, color, temperature, and sensation of the restrained body parts. Document restraint purpose, type and location, time applied and removed, and all assessments.
SCIENCE
HEALTH SCIENCE
NURSING

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