Moderate

In the UK, a patient has a NEWS2 total of 3 because the respiratory rate is 25/min. All other observations are within the normal range. What should the nurse do?

Correct answer: A. Arrange an urgent ward-based clinical review

  • A. Arrange an urgent ward-based clinical review
  • B. Wait until the total score reaches five
  • C. Repeat observations at the routine frequency
  • D. Discharge the patient from physiological monitoring

Explanation

A single NEWS2 parameter scoring 3 requires an urgent ward-based response, even when the total score is only 3. Waiting for the total score to rise could delay assessment of significant deterioration.

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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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