A nurse is teaching a newly licensed nurse about the use of restraints for adult clients. Which of the following information should the nurse include in the teaching?

Choice A reason: Documenting observation every 15 min is correct. Frequent monitoring ensures client safety, assesses circulation, skin integrity, and psychological well-being, and prevents complications such as injury or restricted blood flow. Choice B reason: The provider should assess the client much sooner than 48 hr. Restraint use requires frequent reassessment, typically within 24 hr, to determine ongoing necessity. Waiting 48 hr is unsafe. Choice C reason: The prescription for a restraint should be renewed every 24 hr, not 6 hr. Restraints require daily provider review to ensure they remain necessary and appropriate. Choice D reason: Range-of-motion exercises should be performed every 2 hr, not every 12 hr. Frequent ROM prevents contractures, maintains circulation, and reduces complications from immobility.