You are the RN starting your shift on a pediatric unit. You are taking care of a 7-month-old infant who has been alert and behaving in an age-appropriate manner on the previous shift. When you perform your first assessment, his parents tell you that in the last hour, he has become sleepier and did not cry when the lab technician drew blood a few minutes ago. Your response is to A. encourage the parents to keep the room quiet to allow him to sleep.
B. document it and plan to recheck him in an hour.
C. tell his parents to make him wake up because it is not time for him to go to bed.
D. realize that lethargy in an infant is always an ominous neurological sign and immediately assess him.