In the UK, a child is admitted to an adult medical ward and appears increasingly drowsy. Which approach is most appropriate?
Correct answer: C. Use the paediatric early warning system
- A. Calculate NEWS2 using the adult thresholds
- B. Record temperature only until reviewed
- C. Use the paediatric early warning system
- D. Apply the adult oxygen scale without alteration
Explanation
NEWS2 is designed for adult patients and should not be used as the primary tool for children. A paediatric early warning system and local escalation pathway are required.
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About Recognising Deterioration, NEWS2 and SBAR
Recognising deterioration involves trends in respiratory rate, oxygen saturation, blood pressure, pulse, temperature, consciousness and urine output, together with clinical concern. NEWS2 scoring, its oxygen scale and escalation thresholds support structured response, while SBAR communicates the situation, background, assessment and recommendation; NEWS2 supports judgement but does not replace bedside assessment or urgent action.
Practise Recognising Deterioration, NEWS2 and SBAR
50 free Recognising Deterioration, NEWS2 and SBAR MCQs from International Nursing Practice, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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