In the UK, a nurse calculates a NEWS2 score using observations taken before a patient received oxygen. The patient is now receiving oxygen. What is the best action?
Correct answer: B. Record the current oxygen therapy with a new observation set
- A. Keep the original score because the observations are recent
- B. Record the current oxygen therapy with a new observation set
- C. Score oxygen therapy only if saturation is below 94%
- D. Ignore oxygen therapy if the patient appears comfortable
Explanation
NEWS2 must reflect the patient's current observations and whether supplemental oxygen is being given. The nurse should obtain and document a new observation set, including the oxygen delivery and flow or concentration.
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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.
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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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