A patient, receiving conscious sedation for a colonoscopy, has progressed to a state of deep anesthesia. Which of the following should the nurse do?
1. monitor the heart rate
2. manage the airway and provide ventilation
3. monitor the blood pressure
4. contact the Rapid Response Team
2
Rationale: The nurse who is administering moderate sedation must be prepared to rescue a patient who progresses to a state of deep analgesia. The Joint Commission recommends that healthcare personnel administering conscious sedation be qualified to rescue a patient from unintentional deep sedation. This includes the ability to manage a compromised airway and provide ventilation if necessary. Placing a call to the Rapid Response Team in such an emergency does not meet this standard. The patient will most likely already have his heart rate and blood pressure monitored.
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