A charge nurse making rounds observes that assistive personnel has applied wrist restraints to a client who is agitated and does not have a prescription for restraints. Which of the following actions should the nurse take first?

The correct answer is D: Remove the restraints from the client's wrist. This action should be taken first to ensure the client's safety and well-being as using restraints without a prescription can lead to harm. By removing the restraints promptly, the nurse can prevent any potential injury or circulation issues. Reviewing the chart for nonrestraint alternatives (choice A) can be done after ensuring the client's immediate safety. Informing the unit manager (choice B) is important but not as urgent as removing the restraints. Speaking with the assistive personnel (choice C) can be done after addressing the immediate issue of the restraints.