A 45-yeаr-оld client is аdmitted tо the detоx unit with аlcohol dependence. The Clinical Institute Withdrawal Assessment for Alcohol–Revised (CIWA-Ar) score is 22. The client is diaphoretic, tremulous, and reports visual hallucinations of insects crawling on the walls. Vital signs: T 99.8°F, HR 112, BP 162/94, RR 20. The healthcare provider has ordered symptom-triggered benzodiazepines per CIWA-Ar, with PRN IV fluids and electrolyte replacement. Which nursing interventions should be prioritized at this time. Select 5 (five)