Which Information About a Patient Who Is Receiving Cisatracurium (Nimbex)to

Which information about a patient who is receiving cisatracurium (Nimbex) to prevent asynchronous breathing with the positive pressure ventilator requires immediate action by the nurse?

A) Only continuous IV opioids have been ordered.
B) The patient does not respond to verbal stimulation.
C) There is no cough or gag when the patient is suctioned.
D) The patient's oxygen saturation fluctuates between 90% to 93%.