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?

A. Report to the nurse manager: Reporting suspected chemical impairment to the nurse manager is the appropriate action because it ensures the concern is addressed through proper channels and in accordance with facility policy. This protects client safety, supports the impaired nurse, and allows for formal investigation and intervention. B. Set up a time to meet with the nurse: Confronting the nurse directly may be unsafe, delay necessary intervention, and place clients at risk. Addressing the issue through the manager ensures immediate attention while maintaining professional and legal standards. C. Assume care of the nurse's assigned clients: While client safety is critical, simply taking over assignments does not address the underlying concern or ensure the impaired nurse receives evaluation and support. Reporting is still required. D. Ask another staff nurse to confirm the suspicion: Seeking confirmation from peers can lead to gossip or breaches of confidentiality and does not follow established protocols. Concerns should be reported through formal channels to protect clients and staff.