If a client remains combative after receiving restraints, what should the day shift charge nurse do?

The most appropriate action for the day shift charge nurse is to obtain a new prescription from the primary healthcare provider. In the case of a client who remains combative despite being restrained, it is critical to reassess the situation and determine whether continued restraint is appropriate. The primary healthcare provider can evaluate the client's condition and decide if a modification to the restraint plan is necessary, or if the restraints should be maintained or discontinued based on updated assessments and needs.

This decision also aligns with best practices and legal considerations regarding patient care, ensuring that restraints are only used when absolutely necessary and for the shortest duration possible. Furthermore, obtaining a new prescription ensures that the client's care remains compliant with healthcare regulations and standards.

In contrast, continuing the restraints without reassessment can pose ethical and safety concerns, as can removing them without proper guidance from a healthcare provider. Monitoring the client periodically without addressing the need for a new prescription would not adequately address the situation at hand.