- RSS 1
- RSS 2
- RSS 3
- RSS 4
- RSS 5
- RSS 6
The nurse is caring for a client who just arrived in the PACU following a colonoscopy with polyp removal. The client’s level of sedation is assessed using the Ramsay Sedation Scale (RSS). The client responds quickly, but only to commands. What Ramsay score would the nurse chart for this client?
Number 3 is correct.
Rationale: The client who responds quickly, but only to commands has a Ramsay score of 3. The client with an RSS of 1 is restless, anxious, or agitated. Clients with an RSS of 2 are alert, oriented, and cooperative. Clients with an RSS of 4 respond briskly to stimulus. A client with a sluggish response to stimulus is scored as a 5. A client with an RSS of 6 is deeply sedated and does not respond to stimulus.