A charge nurse is planning an in-service for a group of newly licensed nurses about the use of restraints. Which of the following information should the nurse include?

Record the client’s behavior every 15 min while in restraints.

Secure the restraint to the client’s bed rail using a slip knot.

Raising all four bedrails to keep a client in bed is not considered a restraint.

The nurse should assess a restrained client once every 2 hr.