In the UK, a patient with documented hypercapnic respiratory failure has a prescribed oxygen saturation target of 88% to 92%. Which NEWS2 method should the nurse use?
Correct answer: B. Use SpO2 Scale 2 for the prescribed target range
- A. Use SpO2 Scale 1 for every patient
- B. Use SpO2 Scale 2 for the prescribed target range
- C. Record oxygen saturation but exclude it from NEWS2
- D. Use the normal target range unless the patient becomes cyanosed
Explanation
NEWS2 SpO2 Scale 2 is used for patients with a documented clinician-determined target range of 88% to 92%, such as some patients with hypercapnic respiratory failure. The nurse should follow the prescribed target and local NEWS2 policy rather than automatically using Scale 1.
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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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