A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include?

A. Belt restraints are considered physical restraints and require close monitoring to ensure safety and prevent complications. Documentation every 15 minutes allows the nurse to track the client's behavior, skin integrity, circulation, and overall condition, which is standard practice for restraint use. B. Restraints for adults should be removed and the client assessed at least every 2 hours; 4 hours is too long and increases risk of complications. C. PRN restraint prescriptions are not standard practice; restraints should be prescribed only when absolutely necessary and under strict guidelines. D. Restraints should be attached to the bed frame or other secure point, not the side rails, to ensure safety and prevent injury.