Final answer:
The RN should speak to Pamela to assess her understanding of the situation. Hence the correct answer is option A
Step-by-step explanation:
The action that the RN should take first in this situation is A) Speak to Pamela to assess her understanding of the situation. By speaking to Pamela, the nurse can gather more information about her beliefs and concerns regarding Darla's condition and address any misconceptions she may have. It is important to provide accurate medical information to the family and alleviate any anxiety or confusion they may be experiencing.