A Mechanically Ventilated Adolescent Has a RASS Score of -3

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.

Correct Answer:

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