A nurse is applying soft limb restraints to a child who is acting aggressively toward staff. Which of the following actions should the nurse take?

A. Secure the restraints with a quick-release knot: Using a quick-release knot ensures that restraints can be removed quickly in an emergency, such as if the child experiences respiratory distress or circulatory compromise. This practice promotes safety while maintaining control of aggressive behavior. B. Assess the child every 4 hr while in restraints: Restraints require frequent monitoring, typically every 15–30 minutes for a child, to assess circulation, skin integrity, and psychological status. Assessing only every 4 hours would place the child at risk for injury or complications. C. Tie the restraints to the side rails of the child's bed: Restraints should never be tied to side rails, as this can increase the risk of injury if the bed is adjusted or the child struggles. Restraints should be secured to a stable part of the bed frame that does not move. D. Request that the provider renew the prescription for restraints every 48 hr: Pediatric restraint prescriptions are typically valid for a much shorter period, often 1–2 hours depending on hospital policy, and require frequent reassessment. A 48-hour renewal is unsafe and does not comply with standard guidelines.