A client has been admitted to the emergency department with alcohol withdrawal delirium. The nurse is assessing the client for signs of withdrawal. At 9 AM on 10/25, the nurse notes that the client is...

A client has been admitted to the emergency department with alcohol withdrawal delirium. The nurse is assessing the client for signs of withdrawal. At 9 AM on 10/25, the nurse notes that the client is confused. Vital signs are T = 99°F (37.2°C), P = 50, R = 10, and BP = 100/60. The nurse compares these findings to the nurses' progress notes from admission 24 hours ago (see below). What should the nurse do first?

1. Contact the primary health care provider.

2. Increase the rate of the IV infusion.

3. Attempt to arouse the client.

4. Administer magnesium sulfate.