The nurse obtains a prescription to restrain a client using a belt (safety) restraint and instructs the unlicensed assistive personnel (UAP) to apply the restraint. Which observation, if made by the nurse, indicates unsafe application of the restraint?
1. A safety knot is made in the restraint strap. 2. The restraint straps are safely secured to the side rails. 3. The restraint strap does not tighten when force is applied against it. 4. The restraint is secure, and the client is able to turn from back to side.
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