A nurse is assigned to care for a 28-year-old patient with seizures and neuropsychiatric symptoms secondary to cocaine abuse. The patient is combative and prone to hurting himself despite a 24-hour bedside sitter, so the provider writes for physical restraints. Which options are included in this order? Select all that apply.

The 29-year-old male patient admitted with schizophrenia has pulled out 4 IVs in the last 12 hours. Which intervention does the nurse include in this patient’s care plan?

The nurse is assessing a 55-year-old male in bilateral wrist and ankle restraints for violent behavior. The nurse notes that the patient’s toes have a 5 second capillary refill time. Which action by the nurse is most appropriate?