In the UK, a patient has a NEWS2 score of 1, but the nurse notices increasing work of breathing and says the patient looks much worse than earlier. What is the best action?
Correct answer: A. Escalate the concern and request clinical assessment
- A. Escalate the concern and request clinical assessment
- B. Reassure the patient because the NEWS2 score is low
- C. Wait until the score reaches five before escalating
- D. Record the concern but take no further clinical action
Explanation
NEWS2 supports, but does not replace, clinical judgement. A nurse must escalate a concerning change in condition even when the numerical score is low, because clinical deterioration can precede a significant score.
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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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