What is the appropriate action when dealing with an impaired nurse?

Reporting to the nurse manager is the appropriate action when dealing with an impaired nurse because it ensures that the situation is handled professionally and according to institutional policies. The nurse manager is equipped to address such issues and can take necessary steps to ensure both the safety of patients and the support of the impaired nurse. This action helps maintain workplace confidentiality while allowing the situation to be assessed and addressed by someone in a position of authority.

In contrast, confronting the nurse directly may not be effective and could result in a defensive reaction or escalation of the situation. Ignoring the issue is not an option, as it could pose significant risks to patient safety and ignores the ethical responsibility to report concerns. Additionally, discussing the situation with other staff members may lead to gossip or misinformation, which can further complicate the matter and is not a formal approach to resolving professional concerns. Thus, reporting to the nurse manager is the most responsible and appropriate action to take in this scenario.