The Nurse Finds That a Patient Is Extremely Agitated,yells Frequently,and

The nurse finds that a patient is extremely agitated,yells frequently,and is attempting to get out of bed without assistance.What is the nurse's initial action?

A) Administer zolpidem after taking the patient's vital signs.
B) Close the patient's door for privacy after administering Tylenol.
C) Administer benzodiazepine before calling the healthcare provider.
D) Spend uninterrupted time listening to the patient.