A client has received an opioid analgesic for pain.The nurse assesses that the client has a Pasero Scale score of 3 and a respiratory rate of 7 shallow breaths/min.The client's oxygen saturation is 87%.What action should the nurse perform first?

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The Pasero Opioid-Induced Sedation Scale is used to assess for unwanted opioid-associated sedation.A Pasero Scale score of 3 is unacceptable but is managed by trying to arouse the client in order to take deep breaths and staying with the client until he or she is more alert.Administering oxygen will not help if the client's respiratory rate is 7 breaths/min.Giving naloxone and calling for a Rapid Response Team would be appropriate for a higher Pasero Scale score.

A Client Has Received an Opioid Analgesic for Pain