The LPN/LVN supervises care of clients in a long-term care facility. The LPN/LVN observes a client in a Posey restraint. The LPN/LVN should intervene if which of the following is observed?

A. The nursing assistant attaches the restraints to the bed frame using a quick-release tie.
B. The nursing assistant leaves the side rail down on the side of the client contact.
C. The nursing assistant removes the restraints every 2 hours.
D. The nursing assistant places the bed in the low position

B

Explanation: LPN/LVN is Licensed Practical Nurse (LPN) and Licensed Vocational Nurse (LVN). They are nurses who care for the injured,sick or the disabled. They usually work under the supervision of physicians and registered nurses. They both do the same things, the difference in name is just about location, some states call them LPN while some use LVN as their designation.

It would be wrong to put the side rails down, the correct thing to do would be to place both side rails in the elevated position so as to keep the client's entire body on mattress and avoid risk of falling down or injury to the client when they roll over.