Knee block anesthesia for arthroscopic procedures

AORN Journal,  July, 2005  

• E-mail
• Print
• Link

1. Patients have numerous anesthetic choices when undergoing outpatient knee arthroscopy procedures, including

1. epidural anesthesia.

2. femoral nerve blocks.

3. general anesthesia.

4. knee block anesthesia.

5. sciatic nerve blocks.

6. spinal anesthesia.

a. 1, 3, and 5

b. 2, 4, and 6

c. 1, 2, 3, and 5

d. 1, 2, 3, 4, 5, and 6

2. Knee block anesthesia is an appropriate anesthetic choice for many patients who are classified in anesthesia risk class

1. I.

2. II.

3. III.

4. IV.

a. 1 and 3

b. 2 and 4

c. 1, 2, and 3

d. 1, 2, 3, and 4

3. Knee block anesthesia may be used for arthroscopic procedures, such as

1. anterior cruciate ligament repair.

2. lateral retinacular release and articular cartilage work.

3. meniscal work (eg, repair, partial excision).

4. removal of loose bodies.

5. spur excision.

6. synovectomies.

a. 1, 3, and 5

b. 2, 4, and 6

c. 2, 3, 4, 5, and 6

d. 1, 2, 3, 4, 5, and 6

4. For patients undergoing knee block anesthesia, identifying barriers to communication is an appropriate nursing intervention for which of the following nursing diagnoses?

a. risk for acute pain related to surgical procedure

b. risk for anxiety related to knowledge deficit about risks and benefits of the anesthetic block procedure

c. risk of infection related to length and type of procedure and tissue manipulation during the procedure

d. risk for injury related to the perioperative experience

5. The surgical time out only needs to be performed once immediately before the arthroscopic procedure is about to commence.

a. true

b. false

6. The anesthesia care provider injects 10 mL of subcutaneous local anesthesia into each of the following aspects of the patient's knee in relation to the patella, including

1. inferolateral.

2. inferomedial.

3. posterolateral.

4. posteromedial.

5. superomedial or superolateral.

a. 1 and 3

b. 1, 2, and 5

c. 2, 3, 4, and 5

d. 1, 2, 3, 4, and 5

7. If joint fluid is encountered, the anesthesia care provider

a. removes as much as possible by aspiration before administering the medication.

b. continues with the procedure but notifies the surgeon that fluid is present in the knee joint.

c. stops the procedure and switches to general or regional anesthesia.

d. uses an Esmarch rubber bandage to exsanguinate blood and fluid from the knee.

8. Local anesthetics containing epinephrine should be avoided for the subcutaneous injection because of the potential for

1. bullae.

2. cardiac arrythmias.

3. necrosis.

4. skin erythema.

a. 1 and 3

b. 2 and 4

c. 1,3, and 4

d. 1, 2, 3, and 4

9. After the arthroscopic procedure has been completed, patients who have undergone a knee block anesthetic may go to either the phase I or phase II postanesthesia care unit for recovery.

a. true

b. false

10. Patients who underwent knee blocks were discharged from the PACU an average of--minutes sooner than patients who underwent spinal anesthesia.

a. 100

b. 135

c. 152

d. 178

COPYRIGHT 2005 Association of Operating Room Nurses, Inc.
COPYRIGHT 2005 Gale Group