A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?

Choice A Reason:
Medicating the client with alprazolam, should not be the first action as it involves administering medication that could mask underlying issues and may not be appropriate without further assessment.
Choice B Reason:
Reorienting the client to his surroundings, is important for addressing confusion, but it should not be the first action until the nurse has ruled out any immediate physiological concerns.
Choice C Reason:
When a client presents with confusion and agitation after returning from an acute care facility, it's important for the nurse to prioritize assessing the client's physiological status by measuring vital signs. Changes in vital signs could indicate underlying medical issues such as infection, dehydration, or other physiological disturbances that may be contributing to the client's symptoms.
Choice D Reason:
Offering reassurance to the family, is important for providing support, but it should not be the first action as it does not directly address the client's immediate needs related to confusion and agitation.

Choice A Reason:
Verifying the spelling of the medication with the provider is correct. When receiving a telephone prescription, it's essential to verify the accuracy of the information provided, including the spelling of the medication. This helps prevent errors in transcription and dispensing. Verifying the spelling of the medication with the provider ensures that the nurse correctly identifies the medication being prescribed.
Choice B Reason:
Transcribing prescriptions received via a voicemail recording, may not be the safest method for obtaining prescriptions, as it may introduce transcription errors. Direct communication with the provider is preferred whenever possible.
Choice C Reason:
Requesting that the provider call prescriptions in to the pharmacy, may be appropriate in some cases, but it does not address the nurse's role in accurately receiving and documenting telephone prescriptions.
Choice D Reason:
Using standard abbreviations when obtaining a telephone prescription, is not recommended. Abbreviations can lead to misinterpretation and errors, so it's important to use clear and unambiguous language when documenting prescriptions.