Should a CVA patient have all four side rails up at all times? Should they be restrained? a) Yes, all four side rails should be up at all times, and restraints should be applied. b) No, all four side rails should not be up at all times, and restraints should not be used unless necessary. c) All four side rails should be up, but restraints are not needed. d) All four side rails should be down, and restraints should be applied as needed.