A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?

A. Document the client's behavior once every hour. While documentation is essential, most guidelines for restraint use require more frequent monitoring. The nurse should assess and document the client's physical and psychological status at least every 15 minutes to ensure safety and assess the need for continued restraint use. B. Keep the client in restraints until the prescription expires. Restraints should be removed as soon as the client is calm and no longer poses a threat. Keeping restraints on for the full duration of the prescription without reassessment violates best practices and could cause harm. C. Conduct a debriefing regarding the client with the unit staff. While debriefing is an important step after a restraint episode to evaluate the incident and improve future interventions, it is not the immediate priority following restraint application. Client monitoring and physician evaluation take precedence. D. Request an evaluation of the client within 12 hr of application of restraints. This is a critical step. Regulations require that a provider evaluate the client within a specific timeframe (often 1 hour in person) after the initiation of restraints. A face to face evaluation by the provider must occur. The 12 hours refers to the continuation of the order, not the initial evaluation.