What nursing care should be included when caring for a child with elbow restraints?

The choice that involves removing restraints one at a time and providing range of motion exercises is crucial for several reasons. First, it promotes the child's comfort and reduces the risk of skin irritation or injury that can occur from prolonged restraint. By removing one restraint at a time, a nurse can ensure that the child maintains some level of mobility and can perform movements that prevent stiffness and promote circulation.

Furthermore, providing range of motion exercises while one restraint is being removed contributes to physical well-being and allows for assessment of the child's limb function. This approach respects the balance between ensuring safety and promoting recovery, as it allows for monitoring of the child's response to the removal of restraints. Engaging in such exercises can also enhance the child's sense of autonomy and involvement in their own care, which is vital for their emotional health.

The other options do not support optimal care practices. Keeping restraints on at all times can lead to physical complications and emotional distress. Simultaneously removing all restraints could result in the child putting themselves in danger, depending on their level of mobility and understanding. Lastly, restricting all movement until further assessment would be counterproductive, as it could hinder recovery and do little to evaluate the need for ongoing restraint.