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:

Collaboration

The act of working together with others to achieve a common goal, often emphasizing cooperation across organizations, disciplines, or sectors.

Government-Agent Collaboration

A partnership or cooperative effort between government entities and outside agents or organizations to achieve specific objectives or projects.

Philanthropic

Relating to the act of giving money, goods, time, or effort to support a charitable cause, usually over an extended period and in regard to a defined objective.

Commercial

Relating to or engaged in commerce; characterized by the intent to profit from the buying, selling, or exchanging of goods and services.