The nurse is providing care to a client who has an order for a jacket restraint. Which action by the nurse is appropriate when applying this restraint to the client?
1. Placing the vest with the opening on the side
2. Pulling the tie on the end of the vest flap across the chest and placing it through the slit on the same side of the chest
3. Using a slipknot to secure the tie around the solid leg of the bed frame
4. Using a half-bow knot to secure the tie around the movable bed frame
Correct Answer: 4
The nurse should tie the restraint to the movable part of the bed frame to avoid injuring the client if the head of the bed is raised or lowered. Use a half-bow knot, which is easy and quick to open. The vest is placed with the opening in the front or the back depending on the type of restraint used. The tie on the end of the vest is pulled across the chest and placed in the slit at the opposite side of the chest.
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