Responding to Healthcare Issues Flashcards
7 cards from real CELBAN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Responding to Healthcare Issues flashcards as text
A nurse is administering blood and the patient develops a rash, fever, and chills fifteen minutes into the transfusion. What is the priority action?
Answer: Stop the transfusion immediately, keep the IV line open with normal saline, and notify the physician
Signs of a transfusion reaction require immediate cessation of the blood product and physician notification to prevent life-threatening complications.
A patient's family demands to read another patient's chart because they believe their relative is in the same room. What is the correct response?
Answer: Politely refuse and explain that all patient records are strictly confidential
Patient records are confidential under privacy legislation and cannot be shared with unauthorized individuals under any circumstances.
A nurse observes that a patient's urine output has dropped to less than 30 mL per hour over the past two hours. What is the most appropriate response?
Answer: Assess for other signs of deterioration and notify the physician promptly
Oliguria may indicate renal compromise or hemodynamic instability and requires prompt clinical assessment and physician notification.
A nurse is approached by a journalist who wants to ask questions about a high-profile patient in the hospital. What should the nurse do?
Answer: Decline to comment and direct the journalist to the hospital's public relations department
All media inquiries regarding patients must be referred to the public relations department to protect patient confidentiality.
A charge nurse asks a registered nurse to delegate a complex wound assessment to an unregulated care provider (UCP). What should the RN do?
Answer: Decline the delegation, explaining that complex wound assessment is outside the UCP's scope of practice
Complex clinical assessments fall within the RN's scope of practice and cannot be delegated to unregulated care providers.
A patient is about to be discharged but the nurse suspects the patient does not have a safe home environment. What should the nurse do?
Answer: Raise concerns with the physician and initiate a social work referral before discharge
Safe discharge planning requires addressing home environment concerns and coordinating with social work before the patient leaves the facility.
A nurse caring for a terminally ill patient learns the family wants to withhold the diagnosis from the patient. How should the nurse respond?
Answer: Acknowledge the family's concerns, explain the patient's right to information, and collaborate with the team on an ethical approach
Patients have the right to know their diagnosis; the nurse must balance family concerns with patient autonomy through an ethical, team-based approach.