After receiving the morning report, which client should the nurse assess first?

The priority in nursing care often revolves around patient safety and potential risk of harm. Assessing the client who has been restrained for the past six hours is critical for several reasons. First, restraints can lead to various complications, such as pressure ulcers, impaired circulation, and emotional distress. Monitoring a patient in restraints requires attention to their physiological and psychological state, ensuring that the restraints remain justified and do not violate the patient's rights.

Additionally, the proximity of the restrained client to the nurse station suggests a need for careful observation and monitoring. This client may also require immediate reassessment to determine if the restraints are still necessary, and it's vital to ensure their safety and comfort.

In comparison, clients with stable vital signs and no complaints, those awaiting discharge instructions, or those reporting mild discomfort, while important, do not present as immediate risks that warrant urgent assessment. Prioritizing care to address the highest potential for harm exemplifies effective nursing leadership and patient advocacy.