A 19-Year-Old Male Received an Intravenous Peripheral Nerve Block (PNB/Bier

question 27

Multiple Choice

A 19-year-old male received an intravenous peripheral nerve block (PNB/Bier block) for an open reduction internal fixation (ORIF) of an ankle fracture.The anesthesia provider injected a distal dorsal vein of his right foot with 2% lidocaine,after placing a single cuffed pneumatic tourniquet circumferentially around his upper right thigh.The surgeon looked through the OR window to check on anesthesia progress as he scrubbed at the sink outside of the OR.The circulating nurse had his leg elevated and was prepping his ankle.The surgeon noticed that the cuff seemed to be deflating and that the anesthesia provider was turned away from the patient.The circulating nurse also noticed the movement under the protective towel placed over the cuff,and saw the tourniquet tubing fall to the floor.The nurse's first response should be to:

• A) alert the anesthesia provider, run for the code cart, and tell the scrub person to wrap the Esmarch bandage around the deflated cuff.
• B) alert the anesthesia provider, reconnect the tubing to cuff and reinflate, and send for the code cart.
• C) send the scrub person for the code cart, alert the anesthesia provider to reconnect the tubing and reinflate the cuff, and continue the skin prep.
• D) alert the anesthesia provider, reconnect the tubing and reinflate the cuff, and send the surgeon for a replacement cuff.

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Definitions:

Explicit Costs

Directly incurred expenses in the operation of a business, such as wages, rent, and material costs, which are clearly accounted for and easy to identify.

Opportunity Costs

The potential benefits missed out on when choosing one alternative over another.

Explicit Costs

Direct, out-of-pocket payments for goods or services that are made by a business as part of its operations.

Total Economic Costs

The sum of all costs associated with the production of a good or service, including both explicit (direct) costs and implicit (indirect or opportunity) costs.