In the UK, a nurse reviews a NEWS2 chart and sees that the patient's score has risen from 1 to 4 since the previous observation set. The patient is currently stable but less comfortable than before. What is the best nursing action?
Correct answer: B. Review the trend, reassess the patient and escalate concern
- A. Wait for a score of 5 before informing anyone
- B. Review the trend, reassess the patient and escalate concern
- C. Record only the latest score because earlier scores are replaced
- D. Stop routine observations because the patient remains conscious
Explanation
A rising NEWS2 trend and a change in clinical appearance require reassessment and communication, even when the current score has not reached 5. NEWS2 supports clinical judgement but does not replace it.
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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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