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A Nurse Using the Richmond Agitation-Sedation Scale Documents a Patient

Question 20

Multiple Choice

A nurse using the Richmond Agitation-Sedation Scale documents a patient has a score of +1 before pain medication but after pain medication has a score of -2) Which patient behaviors did the nurse observe?


A) Was restless before the pain medication but after pain medication awakens with eye contact to verbal stimulation.
B) Was agitated before the pain medication but after pain medication was not responsive to voice or physical stimulation.
C) Was pulling on IV tubing before the pain medication but after pain medication was alert and calm.
D) Was combative before the pain medication but after pain medication was drowsy.

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