CAPA Regional Anesthesia Recovery Care 5

Question 1

A patient receiving a continuous peripheral nerve block infusion at home calls the ambulatory surgery unit reporting that the catheter has dislodged. The nurse's BEST response is:

Accepted Answer

Tell the patient to stop the pump, secure the site, and come to the facility for evaluation

Answer

A dislodged catheter requires the patient to stop the infusion and return for evaluation, as reinsertion at home is not appropriate and additional local anesthetic may cause pooling or toxicity.

Question 2

Which patient would be BEST suited for a spinal anesthetic rather than general anesthesia in the ambulatory setting?

Accepted Answer

A patient with a history of malignant hyperthermia undergoing inguinal hernia repair

Answer

Patients with malignant hyperthermia risk benefit from spinal anesthesia because it avoids triggering agents; it is a preferred technique for this high-risk group.

Question 3

During assessment of a patient in the PACU after an axillary brachial plexus block, the nurse notes a large, expanding hematoma at the block site. The PRIORITY nursing action is:

Accepted Answer

Notify the physician, apply firm manual pressure, and monitor neurovascular status

Answer

An expanding hematoma at a nerve block site requires immediate physician notification, direct pressure, and neurovascular assessment for possible nerve compression.

Question 4

A patient is being evaluated before discharge after a femoral nerve block for knee surgery. Which finding indicates SAFE discharge readiness?

Accepted Answer

Patient ambulates safely with crutches and verbalized limb protection precautions

Answer

Safe ambulation with crutches and demonstrated understanding of limb protection indicates the patient has the necessary function and knowledge for safe discharge with a residual femoral block.

Question 5

Which LOCAL anesthetic is SAFEST to use for a digital ring block, and why?

Accepted Answer

Lidocaine without epinephrine, because epinephrine causes digital vasospasm and ischemia

Answer

Epinephrine causes vasospasm in end-arterial digital circulation and should be avoided; plain lidocaine provides effective anesthesia without ischemia risk.

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

CAPA Regional Anesthesia Recovery Care 5