The nurse cares for a client in 2-point soft wrist restraints to prevent them from pulling out their endotracheal tube. What action(s) should the nurse include in the client's care to prevent complications?

Assess extremity circulation distal to the restraints.

Remove the restraints when they are no longer needed.

Ask the client if they want the restraints removed.

Replace the restraints with new ones when soiled or wet.

Remove the restraints every four hours for five minutes