A registered nurse (RN) who works on the night shift enters the medication room and finds a co-worker with a tourniquet wrapped around the upper arm
The co-worker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. The most appro-priate initial action by the RN is which of the following? 1. Call security.
2. Call the police.
3. Call the nursing supervisor.
4. Lock the co-worker in the medication room until help is obtained.
3
Rationale: The nurse practice act requires reporting impaired nurses. The board of nursing has jurisdiction over the practice of nursing and may develop plans for treatment and supervision. This incident needs to be reported to the nursing supervisor, who will then report to the board of nursing and other authorities as required. "Lock the co-worker in the medication room until help is obtained" is an inappropriate and unsafe action. Security may be called if a disturbance occurs, but there are no data in the question to support this. Therefore, this is not the initial action.
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