Answer :
A CVA patient should have all side rails up to prevent falls when in bed, but avoiding the use of restraints unless absolutely necessary and ordered by a doctor. Hence, c) is correct.
For a CVA (Cerebrovascular Accident) client, also known as a stroke patient, it's generally recommended to have all four side rails up when the patient is in bed to prevent falls.
However, restraints are typically discouraged due to the risk of injury and violation of patient's rights unless absolutely necessary and ordered by a physician. Therefore, the answer would be 'c) Yes, all side rails up but no restraints'.
Keep in mind that each case might be different and the patient's unique needs and conditions should always be considered in details for safety measures.
Learn more about CVA patient safety here:
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