medium · NCLEX-RN management
A nurse witnesses a collapse at a grocery store. The individual is awake but appears confused and has a strong smell of alcohol. The nurse offers to perform a blood glucose check with the individual's own meter. The individual shouts, 'Get away from me, I don't want your help!'
How should the nurse proceed?
- Remain nearby to ensure safety while respecting the individual's right to refuse
- Call the individual's emergency contact to get permission to treat
- Perform the check anyway because the smell of alcohol suggests impaired judgment
- Ask a store security guard to restrain the individual so the assessment can be finished
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