The nurse is conducting walking rounds and observes the client (see figure). The nurse should do which of the following? 1. Loosen the bed restraints so the client can sit up. 2. Raise the side rails...

The nurse is conducting walking rounds and observes the client (see figure). The nurse should do which of the following?

1. Loosen the bed restraints so the client can sit up.

2. Raise the side rails to full upright position.

3. Assess the client to determine why she wants to sit up.

4. Elevate the head of the bed.