What nursing intervention is the highest priority when caring for a client with wrist restraints applied?

The highest priority nursing intervention when caring for a client with wrist restraints is to assess color, sensation, and pulses distal to the restraint. This action is critical because it ensures that there is adequate circulation and neurological function to the areas beyond where the restraints are applied. Restraints can pose a risk of compromising blood flow and nerve function, and monitoring these vital signs helps in identifying any signs of potential complications, such as tissue damage or impaired circulation.

Routine assessment of color, sensation, and pulses can reveal early signs of issues like ischemia or pressure necrosis, which can be life-threatening if not addressed promptly. This intervention aligns with the fundamental principles of patient safety and quality care, emphasizing the need for continuous evaluation when restraints are in use. Ensuring the client's physical well-being takes precedence, which is why this option is prioritized over other interventions related to comfort or mobility.