A newly admitted client diagnosed with paranoid schizophrenia is pacing rapidly and wringing his hands. He states that another client is out to get him. Then he says, “Protect me, select me, reject...

A newly admitted client diagnosed with paranoid schizophrenia is pacing rapidly and wringing his hands. He states that another client is out to get him. Then he says, “Protect me, select me, reject me.” The nurse should next:

1. Administer his oral PRN lorazepam (Ativan) and haloperidol (Haldol).

2. Place the client in temporary seclusion before he has a chance to hurt others.

3. Call the primary health care provider for a prescription for restraints.

4. Ask the other clients to leave the immediate area.