A patient is recovering after receiving sedation for a contrast medium study and has a score of 1 using the Modified Ramsay Sedation Scale. What action by the nurse is most appropriate at this time?
a. Document these normal findings.
b. Prepare to increase the oxygen flow.
c. Administer a drug-reversal agent.
d. Listen to the breath sounds.
A
A score of 1 is the highest score possible and reflects optimum recovery. There is no need to in-crease the oxygen flow based on the patient's optimum status. A drug-reversal agent is not needed based on current assessment data. There are no data that point to the need to assess breath sounds at the current time.
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