In the UK, an adult patient's NEWS2 score is 5, with no single parameter scoring 3. What is the most appropriate response?
Correct answer: B. Arrange an urgent clinical review and increase monitoring
- A. Continue routine observations every 12 hours
- B. Arrange an urgent clinical review and increase monitoring
- C. Wait until the next ward round before reporting it
- D. Record the score without contacting another clinician
Explanation
A total NEWS2 score of 5 or 6 requires an urgent clinical review and increased observation frequency. Waiting for a routine ward round can delay assessment of 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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