In the UK, a nurse counts a patient's respiratory rate for NEWS2 while the patient is talking intermittently. What should the nurse do?
Correct answer: B. Count the breaths over a complete minute
- A. Estimate the rate from the patient's speech
- B. Count the breaths over a complete minute
- C. Record the rate as normal if speech is clear
- D. Ask the patient to breathe faster for measurement
Explanation
Respirations should be counted over a full minute when accurate NEWS2 scoring is required. Estimating from speech can miss tachypnoea or irregular breathing.
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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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