Score:17% (47 / 51 Done) 17% A client was successfully extubated after several days of sedation and mechanical ventilation and is currently receiving 40% oxygen via a face mask. While making rounds, the nurse finds the client confused and attempting to get out of bed. Current vital signs are an oral temperature 99.2F (37.3 C), heart rate 112 beats/minutes, respirations 16 breaths/minute, blood pressure 100/70 mm Hg, and an oxygen saturation of 98%. Which intervention should the nurse implement? A.Administer a PRN dose of benzodiazepine. B.Increase the oxygen concentration to 60%. C.Apply bilateral wrist restraints. D.Notify the rapid response team