A client on a stretcher in the emergency department begins to thrash around, slap the sheets, and yell, “Get these bugs off of me.” She is disoriented and has a blood pressure of 189/75 and a pulse of 96. The friend who is with her says, “She was drinking a lot 3 days ago and asked me for money to get more vodka, but I didn't have any.” The nurse should do the following in which order from first to last?
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