A Mechanically Ventilated Adolescent Has a RASS Score of -3

question 4

Multiple Choice

A mechanically ventilated adolescent has a RASS score of -3.The child is receiving pain medication and sedation by intravenous infusion.Which action by the nurse is the most appropriate?

• A) Assess the child for uncontrolled pain.
• B) Document findings and continue to monitor.
• C) Increase the fentanyl (Sublimaze) infusion.
• D) Suction the patient in case of tube obstruction.