hard · NCLEX-RN Management of Care
The nurse is planning the next immediate administrative and reporting steps. Which of the following solutions should the nurse include in the plan? Select all that apply. Apply the response specifically to this case: suspected impaired nurse diverting opioids, requiring immediate client protection, objective reporting, chain-of-command escalation, and confidential alternative-to-discipline monitoring.
- Document an objective, factual timeline of the client's unrelieved pain, observed colleague behaviors, and the Pyxis inventory discrepancies in the electronic health record.
- Verify that the colleague is safely escorted home or to an evaluation area and not permitted to drive if visibly impaired.
- Confront the colleague privately and agree to conceal the incident in exchange for the colleague's promise to seek help.
- Report the objective findings to the state board of nursing or institutional designee as required by the jurisdiction's mandatory reporting laws.
- Delegate the task of auditing Sarah's prior medication administration records to an unlicensed assistive personnel (UAP).
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