Which action should the nurse take first when the patient has a score of 4 on the sedation rating scale?

A) Stimulate the patient.
B) Prepare to administer naloxone (Narcan) .
C) Administer a dose of pain medication.
D) Notify the physician immediately.

Question

chetan tomar · Accepted Answer

Final Answer : A, Explanation :   If the patient's score on the sedation rating scale is equal to or greater than 4,the nurse should first stimulate the patient.He should next notify the physician.The nurse should consider administering naloxone,as prescribed,if the patient's respiratory rate is less than 8 breaths/min; if respirations are shallow with marginal or falling oxygen saturation; or if the patient is unresponsive to stimulation.Before the patient receives another dose of pain medication,the dose should most likely be reduced and other potential causes of sedation should be investigated.

Which action should the nurse take first when the patient has a score of 4 on the sedation rating scale?

A) Stimulate the patient.
B) Prepare to administer naloxone (Narcan) .
C) Administer a dose of pain medication.
D) Notify the physician immediately.

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Learning Objectives

Learning Objectives

Related questions

Which action should the nurse take first when the patient has a score of 4 on the sedation rating scale?A) Stimulate the patient.B) Prepare to administer naloxone (Narcan) .C) Administer a dose of pain medication.D) Notify the physician immediately.

Definitions

Learning Objectives

Learning Objectives

Related questions

Which action should the nurse take first when the patient has a score of 4 on the sedation rating scale?

A) Stimulate the patient.
B) Prepare to administer naloxone (Narcan) .
C) Administer a dose of pain medication.
D) Notify the physician immediately.