In the UK, a patient has a NEWS2 score of 2 and a new unilateral facial droop with difficulty speaking. What is the most appropriate action?
Correct answer: C. Treat the neurological signs as an emergency
- A. Continue routine observations because the score is low
- B. Repeat NEWS2 in four hours before escalating
- C. Treat the neurological signs as an emergency
- D. Ask the patient to rest and reassess after meals
Explanation
New focal neurological signs may indicate an acute stroke and require immediate assessment and escalation. NEWS2 supports recognition of deterioration but does not replace clinical judgement or emergency pathways.
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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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