Restraints And Least Restrictive Alternatives Practice Test

A 55-year-old client on a medical unit is receiving opioids after surgery and becomes increasingly drowsy and confused, attempting to climb out of bed. The nurse is considering restraints. Which action should the nurse take FIRST to ensure client safety?

A 60-year-old post-operative client becomes confused and repeatedly attempts to remove a surgical drain; the nurse applies soft wrist restraints per order. Which nursing action is the PRIORITY after restraints are applied?