In the UK, a nurse has escalated a deteriorating patient and an intervention is started. What is the most appropriate next action?
Correct answer: B. Continue assessment and record the patient's response
- A. Assume the intervention worked once it is given
- B. Continue assessment and record the patient's response
- C. Stop recording observations until the review is complete
- D. Remove the patient from further NEWS2 monitoring
Explanation
Recognition and escalation must be followed by ongoing reassessment to determine whether the patient is improving or deteriorating. The response, further observations, escalation and agreed plan should be documented 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.
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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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