Match each nursing action during restraint use with its corresponding rationale.
Nursing Action Rationale
1. Assess the patient’s circulation and skin condition every 15 minutes. [ Select ] ["Ensure the restraints are discontinued as soon as the patient is safe.", "Provide legal and ethical accountability for the restraint intervention.", "Prevent complications such as skin breakdown or impaired circulation.", "Reduce the risk of injury and ensure patient safety."]
2. Reassess the need for restraints frequently. [ Select ] ["Ensure the restraints are discontinued as soon as the patient is safe.", "Provide legal and ethical accountability for the restraint intervention.", "Prevent complications such as skin breakdown or impaired circulation.", "Reduce the risk of injury and ensure patient safety."]
3. Maintain continuous observation of the patient. [ Select ] ["Ensure the restraints are discontinued as soon as the patient is safe.", "Provide legal and ethical accountability for the restraint intervention.", "Prevent complications such as skin breakdown or impaired circulation.", "Reduce the risk of injury and ensure patient safety."]
4. Document the patient’s behavior and interventions. [ Select ] ["Ensure the restraints are discontinued as soon as the patient is safe.", "Provide legal and ethical accountability for the restraint intervention.", "Prevent complications such as skin breakdown or impaired circulation.", "Reduce the risk of injury and ensure patient safety."]