A 50-Year-Old Woman with Degenerative Rheumatoid Arthritis Is Having a Two-Joint

A 50-year-old woman with degenerative rheumatoid arthritis is having a two-joint metacarpophalangeal implant of her left hand.The pneumatic tourniquet is applied to the patient's upper left arm and has been inflated to 280 mm Hg for 38 minutes.The surgery is advancing as planned,and the surgeon is preparing to insert the second implant.The perioperative nurse circulator has set the time threshold for 60 minutes.During her preoperative assessment,the nurse noted no contraindications to pneumatic tourniquet use.While the surgery is going well,and the nurse is confident that the second implant will be inserted and the wound closed before the tourniquet alarms,which risk reduction strategy would be appropriate for the nurse to employ?

A) Be prepared to increase the time threshold to 90 minutes.
B) Suggest a let-down procedure to resanguinate the limb at 60 minutes if the second implant is not yet inserted.
C) Wait until the 60-minute alarm sounds.
D) Monitor duration and remind team before 1 hour is reached.