After applying a restraint, which assessment should be documented regularly?

• A. Vital signs every hour.
• B. No documentation is needed.
• C. Temperature checks only.
• D. Neurovascular checks at regular intervals and documentation.

Answer: (D)

Restraints can constrict blood flow and compress nerves, so the most important ongoing monitoring focuses on the neurovascular status of the restrained limb. Regular documentation of this assessment ensures any compromise is detected early and actions can be taken to prevent injury. Neurovascular checks involve evaluating distal sensation, movement, color, warmth, capillary refill, and pulses, and noting any swelling, numbness, tingling, or increased pain. Record the exact time, the findings, who performed the check, and any interventions taken (such as loosening or repositioning the restraint) along with the patient’s response. While vital signs are important, they don’t specifically assess limb perfusion and nerve function, so they don’t replace these checks.