A charge nurse is planning an in-service for a group of newly licensed nurses about the use of restraints. Which of the following information should the nurse include?

Choice A reason: Recording the client’s behavior every 15 minutes while in restraints is correct because frequent documentation ensures safety, monitors the client’s physical and psychological status, and provides evidence that restraints are being used appropriately. Choice B reason: Securing restraints to the bed rail is unsafe because bed rails move and can cause injury. Restraints should be secured to the bed frame using a quick-release knot, not a slip knot, to allow rapid removal in emergencies. Choice C reason: Raising all four bedrails is considered a restraint if it restricts the client’s freedom of movement. This statement is incorrect because it misrepresents restraint guidelines. Choice D reason: Assessing a restrained client only once every 2 hours is insufficient. Clients must be assessed at least every 15 minutes for safety, circulation, and comfort. Two-hour checks would not meet safety standards.