What is the appropriate nursing action for a client who has been placed in restraints?

Monitoring the client's skin integrity on a regular schedule is crucial when a client has been placed in restraints. Restraints can increase the risk of skin breakdown due to prolonged pressure on certain areas of the body, especially if the restraints are tight or inappropriately applied. Regularly checking the skin allows for the early identification of any issues such as redness, swelling, or skin tears, which can prompt timely interventions to prevent further complications.

In addition to skin integrity monitoring, it's essential to maintain the overall well-being of the client, which includes evaluating their comfort and safety continuously. Proper documentation of restraint use, removal of restraints, or provision of entertainment are also important aspects of care, but they do not specifically address the immediate risks associated with the use of restraints as effectively as monitoring skin integrity.