In the UK, a doctor agrees during an SBAR call to review a deteriorating patient within 30 minutes. Before the review, the patient's breathing worsens and consciousness changes. What should the nurse do?
Correct answer: C. Escalate urgently using the local emergency pathway
- A. Wait for the agreed review time
- B. Repeat the observations at the usual interval
- C. Escalate urgently using the local emergency pathway
- D. Document the change after the doctor arrives
Explanation
A new deterioration requires immediate reassessment and escalation rather than waiting for a previous plan. The nurse should use the local emergency pathway and communicate the changed findings clearly.
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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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