A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should the nurse take?

A. Secure the restraints to the lowest bar of the side rail: Restraints should never be tied to the side rails, as this can cause injury if the client attempts to move. They should be secured to a stable part of the bed frame that moves with the client, ensuring safety and preventing harm. B. Secure the restraints using a quick-release tie: Quick-release knots allow the nurse to remove restraints rapidly in an emergency, such as sudden respiratory distress or circulatory compromise. This method balances safety with the ability to intervene immediately if needed. C. Anticipate removing the restraints every 4 hr.: Restraints should be removed or assessed more frequently, typically every 2 hours for adults, to check circulation, skin integrity, and range of motion. Waiting 4 hours can increase the risk of injury or skin breakdown. D. Ensure four fingers fit under the restraints to prevent constriction: Only enough space for two fingers should be placed between the restraint and the client’s skin. Four fingers would make the restraint too loose, increasing the risk of slipping and reducing effectiveness in preventing harm.