Difficulty: Medium
Average Score: 62%
Simulated
The chief executive officer (CEO) of a large manufacturing plant presents to the occupational health clinic with chronic rhinitis and requesting medication. On inspection, the nurse notices holes in the septum that separates the nasal passages. The nurse also notes dilated pupils and tachycardia. The facility has a 'No Drug' policy. Which intervention should the nurse implement?
Correct answer
A
Rationale
Nasal septal perforation, dilated pupils, and tachycardia suggest cocaine use. A drug screen (A) objectively confirms substance use while maintaining confidentiality. Discussing drug use (B) is premature, notifying the supervisor (C) breaches confidentiality, and ignoring findings (D) is unethical.