An Older Adult Client Is in Physical Restraints

question 1

Multiple Choice

An older adult client is in physical restraints.Which intervention by the nurse is the priority?

• A) Assess the client hourly while keeping the restraints in place.
• B) Assess the client every 30 to 60 minutes, releasing restraints every 2 hours.
• C) Assess the client once each shift, releasing the restraints for feeding.
• D) Assess the client twice each shift while keeping the restraints in place.