What should a nurse do first when finding a client lethargic and confused after a fall?

In a situation where a client is found lethargic and confused following a fall, immediate action is critical. The priority should be to ensure the client receives prompt medical attention to rule out serious injuries or complications such as a head injury, internal bleeding, or a possible stroke. Sending the client to the emergency room allows for thorough evaluation and necessary interventions, which could include diagnostic imaging and treatment options.

The other responses may not provide the urgent care needed. Calling the healthcare provider for instructions or advising the wife to monitor the symptoms may delay essential evaluation and treatment. While reassurance may be comforting, it does not address the priority of ensuring the client's safety and health in light of the concerning symptoms following a fall. Therefore, prompt transfer to the emergency room is the most appropriate response.