A 22-year-old client is brought to the emergency department with his fiancée after being involved in a serious motor vehicle accident. His Glasgow Coma Scale score is 7, and he demonstrates evidence...

A 22-year-old client is brought to the emergency department with his fiancée after being involved in a serious motor vehicle accident. His Glasgow Coma Scale score is 7, and he demonstrates evidence of decorticate posturing. Which of the following is appropriate for obtaining permission to place a catheter for intracranial pressure (ICP) monitoring?

1. The nurse will obtain a signed consent from the client's fiancée because he is of legal age and they are engaged to be married.

2. The physician will get a consultation from another physician and proceed with placement of the ICP catheter until the family arrives to sign the consent.

3. Two nurses will receive a verbal consent by telephone from the client's next of kin before inserting the catheter.

4. The physician will document the emergency nature of the client's condition and that an ICP catheter for monitoring was placed without a consent.