An elderly client hospitalized 4 days for treatment of acute respiratory distress has become confused and disoriented. The client has been picking invisible items off blankets and has been yelling at...

An elderly client hospitalized 4 days for treatment of acute respiratory distress has become confused and disoriented. The client has been picking invisible items off blankets and has been yelling at the daughter who is not in the room. The family tells the nurse that the client has been treated for anxiety with Xanax (alprazolam) for years, but Xanax is not on the current medication list. Which of the following safety measures should be implemented? Select all that apply.

1. The client should be placed on withdrawal precautions and treatment started immediately.

2. The client should be placed in soft restraints.

3. The medications should be available to help with the hallucinations.

4. The daughter should not visit until the client is better.

5. The client's medical and mental status should be evaluated frequently and treated as needed.