A nurse is providing teaching to an assistive personnel (AP) about caring for clients with restraints. Which of the following statements by the AP indicates an understanding of the teaching?

A. "I will tie a restraint to the portion of the bed that moves when the head of the bed is moved.": This is the safest method because it prevents excess tightening or loosening of the restraint as the bed is adjusted. Using quick-release knots ensures the restraint can be removed quickly in an emergency. B. "I will tie the restraints in double knots.": Double knots are unsafe because they are difficult to untie quickly if the client requires emergency release. Quick-release knots are the standard to promote both safety and rapid removal. C. "I will put four side rails up if a client is confused.": Raising all four side rails is considered a form of restraint and poses risks for injury, such as entrapment or falls when attempting to climb out. It should not be used for confused clients. D. "I will ensure that restraints fit tightly against the client.": Restraints should never be tight; there should be enough space to insert two fingers between the restraint and the client’s skin. Tight restraints can impair circulation, cause skin breakdown, and increase injury risk.