In the UK, a patient suddenly develops severe central chest pain, becomes pale and collapses. What should the nurse do first?
Correct answer: C. Call for emergency assistance and begin an immediate assessment
- A. Complete a full NEWS2 calculation before seeking help
- B. Place the patient in a side room for further observation
- C. Call for emergency assistance and begin an immediate assessment
- D. Prepare an SBAR message before approaching the patient
Explanation
A sudden collapse with severe chest pain is an emergency. The nurse should call for immediate help and assess airway, breathing and circulation without delaying care to complete NEWS2 or prepare a communication structure.
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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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