How often should a patient be reassessed when restraints are in use?

• A. Every hour
• B. Every 4 hours
• C. Every 8 hours
• D. Every 2 hours

Answer: (D)

Regular and close reassessment is essential when restraints are in use to protect the patient and catch problems early. The standard practice is to reassess every 2 hours. During this check, you verify that the restraints are still needed and properly applied, assess circulation, sensation, and movement in the restrained extremities, and look for skin changes or signs of pressure, irritation, or edema. You also ensure the patient is comfortable, breathing normally, and not experiencing distress or delirium. If any issues are found, adjust or remove the restraints per policy and provide skin care and range-of-motion exercises during periodic releases. This approach helps prevent complications like circulatory compromise, skin breakdown, and respiratory or cognitive problems associated with prolonged restraint use.