The Nurse Is Caring for a Client Who Has Prescribed

The nurse is caring for a client who has prescribed extremity restraints. The nurse is required to document which of the following?

A) Alternative measures attempted before applying the restraints
B) A verbal order for renewal of the restraints every 48 hours
C) Detailed description of the restraint application process
D) Type of personal protective equipment (PPE) used by the nurse during restraint application