The Nurse Is Caring for a Client Who Has Been

The nurse is caring for a client who has been placed in restraints.Which statements made to the client by the nurse indicate an understanding of following restraint guidelines of the Centers for Medicare and Medicaid Services (CMS) and The Joint Commission? Select all that apply.

A) "Would you like some water?"
B) "I'll check on you every 3 hours."
C) "Do you need help going to the bathroom?"
D) "Let's change the position you're lying in."
E) "We'll remove these in about an hour."