A nurse suspects another nurse is experiencing chemical impairment during their shift. Which of the following is an appropriate action for the nurse to take?

Choice A reason: Reporting to the nurse manager is the appropriate and required action. Chemical impairment poses a serious risk to patient safety, and immediate reporting ensures that the situation is addressed according to institutional policy and regulatory standards. This is the correct answer because it prioritizes patient safety and professional accountability. Choice B reason: Setting up a time to meet with the nurse is inappropriate because it delays intervention and places responsibility on the reporting nurse rather than the manager. It also risks confrontation without proper support. Choice C reason: Assuming care of the impaired nurse’s clients may temporarily protect patients but does not address the root issue. It also places undue burden on the reporting nurse and fails to follow proper protocol. Choice D reason: Asking another staff nurse to confirm the suspicion is not appropriate. It risks gossip, breaches confidentiality, and delays necessary intervention. The nurse should report directly to the manager rather than seeking peer validation.