Accident patient who Sustained head injury

Mr. Smith is a 33 year old motor vehicle accident patient who sustained head injury and was admitted to the surgical ICU post-operatively. The RN observed the patient having generalized seizure activity and immediately informed the MD. Mr. Smith has an order for Phenytoin Sodium (Dilantin) 750�� IVPB loading dose and the scanner is not readily available. In this case, what should the nurse do?
A. Verify the patient’s identification
B. Defer scanning the patient and administer the medication
C. Document in the EMAR and progress notes as a critical event
D. All of the above

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