Which action by a newly hired nurse applying soft-wrist restraints requires follow-up?

In the context of using soft-wrist restraints, repositioning a client from a semi-Fowler's position to a prone position requires follow-up because it may not be appropriate or safe for a patient who is restrained. Prone positioning can limit the client's ability to breathe comfortably, especially if they are at risk for respiratory issues or have certain medical conditions. Additionally, it can place undue stress on the restraints and potentially lead to injury.

It’s important for nurses to understand the implications of positioning in relation to the patient’s condition and safety. While reassessing the patient during any repositioning is critical, moving a restrained patient to a position that could compromise their airway or safety is particularly concerning and warrants close monitoring and possibly a reassessment of the need for restraints altogether.

The actions related to securing the restraints, ensuring access to quick-release mechanisms, and monitoring circulation (like checking the radial pulse) are considered appropriate practices. Each of these actions is directed toward maintaining the client's safety and comfort while using restraints, reflecting good nursing judgment and protocols.