An intubated client with acute delirium requires bilateral wrist restraints to prevent her from removing her endotracheal tube. The wrist restraints have been applied for several hours. The nurse understands that to continue monitoring the restraints, the nurse must perform which action?
Remove both restraints at the same time
Check the restraints every 4 hours.
Provide range of motion to the wrists every 6 hours.
Remove and provide range of motion on each wrist every two hours.
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