In assessing a client in bilateral wrist restraints, which action by the nurse is inappropriate?

Positioning the client prone while they are in bilateral wrist restraints is inappropriate because this position can compromise the client's safety and wellbeing. In the prone position, the client may have difficulty breathing, and their restraint could restrict movement or circulation, leading to potential harm. It is crucial to ensure that the client is in a position that allows for adequate respiratory function, comfort, and safety, which generally means being positioned supine (on their back) or in a more neutral position that does not hinder their ability to breathe or access help if needed.

The other actions—securing the restraint to the bed frame, following the quick-release buckle protocol, and checking the radial pulse regularly—are all appropriate practices. Securing restraints to the bed frame ensures that the client cannot easily remove them, supporting safety while the client is restrained. The quick-release buckle protocol is essential for ensuring that restraints can be easily removed in an emergency. Regularly checking the radial pulse is critical in monitoring circulation and ensuring that the restraints are not causing harm.