CAPA Regional Anesthesia Recovery Care 4

Question 1

A patient who received a spinal anesthetic for knee arthroscopy is now in phase II recovery. The nurse notes the patient cannot plantar-flex the foot against resistance. What should the nurse do?

Accepted Answer

Notify the anesthesia provider, as this may indicate neurological injury

Answer

Persistent unilateral motor deficit beyond expected block duration may indicate neurological injury, requiring prompt anesthesia provider notification and evaluation.

Question 2

Which patient factor is a CONTRAINDICATION to performing a peripheral nerve block in the ambulatory surgery setting?

Accepted Answer

Patient refusal to consent to the block procedure

Answer

Patient refusal is an absolute contraindication to any regional anesthesia procedure regardless of its clinical benefits.

Question 3

A patient recovering from a digital nerve block for finger surgery reports increasing throbbing pain and tightness 2 hours post-procedure. The fingertip appears pale and capillary refill is 4 seconds. What is the PRIORITY action?

Accepted Answer

Immediately notify the surgeon for potential vascular compromise

Answer

Pallor, prolonged capillary refill, and pain after a digital block suggest vascular compromise, which is a surgical emergency requiring immediate physician notification.

Question 4

When preparing Intralipid 20% for treatment of LAST, which administration approach is CORRECT for an adult patient experiencing cardiovascular collapse?

Accepted Answer

1.5 mL/kg bolus IV over 2-3 minutes, followed by 0.25 mL/kg/min infusion

Answer

ASRA guidelines recommend 20% lipid emulsion 1.5 mL/kg IV bolus over 2-3 minutes followed by a 0.25 mL/kg/min infusion for LAST with cardiovascular collapse.

Question 5

A patient with a thoracic epidural for post-operative pain control reports sudden severe back pain at the catheter insertion site with new onset lower extremity weakness. The nurse's PRIORITY action is:

Accepted Answer

Immediately notify the anesthesiologist of possible epidural hematoma

Answer

Sudden back pain with new neurological deficits is a hallmark of epidural hematoma, a neurosurgical emergency requiring immediate evaluation and possible intervention within hours.

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

CAPA Regional Anesthesia Recovery Care 4