During morning rounds, the nurse notices that a client admitted 3 days ago with hepatic encephalopathy is sleepy and confused. The client is scheduled for discharge later today. Which interventions are appropriate for the nurse to implement? Select all that apply.

Hold the client's morning dose of lactulose:

Assess the client's hand movements with arms extended.

Encourage the client to ambulate in the hallway.

Compare current mental status findings with those from previous shifts.

Contact the health care provider to request a blood draw for ammonia level.