The nurse is providing care to a client requiring restraints. How often does the nurse assess the client and document the assessment?
1. Once per shift
2. Once a day
3. Once every 4-6 hours
4. Once every 1-2 hours
Correct Answer: 4
Although each facility will set its own rules for frequency of assessing and documenting the use of restraints, clients generally will need to be assessed at least once every 1-2 hours. Once per day or per shift is very dangerous, and would not meet the recommendations of close observation of restrained clients. Assessing the client every 4-6 hours is not safe, and could result in client injury.
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