You Are the Charge Nurse on a Busy Medical-Surgical Unit

You are the charge nurse on a busy medical-surgical unit.You are also the preceptor to a novice nurse.What response would be expected from a nurse in the novice stage of clinical competence development when assigned to perform a morning assessment on a patient?

A) Nurse uses Doppler to obtain pulses on a patient with no palpable peripheral pulses
B) Reporting to the charge nurse that they cannot feel a patient's peripheral pulses and the blood pressure is only palpable
C) Nurse calls for help when she finds the patient with barely palpable blood pressure and hard to arouse
D) Reporting to the charge nurse that she decided to let the patient sleep until the breakfast trays arrive because the patient was sleeping so soundly