An alert adult in the preoperative holding area is scheduled for a right shoulder rotator cuff repair. After signing the consent form, the client tells the nurse, 'I thought my surgery was on my left shoulder.' Vital signs are stable, and transport to the operating room is planned within 15 minutes. Which actions should the nurse take at this time? Select all that apply.

The client's statement about the surgical site conflicts with the informed consent and must be resolved before transport, so the nurse notifies the surgeon and holds transport until clarification occurs. Confirming the operative site marking against the consent form and surgical schedule is a required safety check that prevents wrong-site surgery. Verifying the client's fasting status, including the last time food and clear liquids were consumed, is essential to reduce aspiration risk before anesthesia. Proceeding with transport without addressing the concern ignores an unresolved safety issue. Allowing a spouse to sign consent assumes decisional incapacity without supporting assessment data. Waiting until after anesthesia induction to correct the discrepancy delays action that must occur beforehand and violates safe surgical protocol.