AIIMS Delhi NO- 2019
Medical & Surgical Nursing
Medium
A nurse has given the following glove to the surgeon. What could be the possible reason?
Appeared in: AIIMS Delhi NO- 2019
Explanation
- The image clearly indicates the gloves are 'Powderfree', a key feature for preventing allergic reactions.
- Powder in traditional gloves can carry latex protein allergens into the air, which can be inhaled and cause Type I hypersensitivity reactions in sensitized individuals.
- Providing powder-free gloves is a standard and critical nursing intervention to protect a surgeon with a known or suspected latex allergy.
- The low protein content mentioned on the package ('no more than 50µg') further supports the goal of reducing allergenicity.
Why Other Options Were Wrong
- Option A: While cost is a factor in hospital procurement, it is not the primary clinical reason for selecting a specific type of glove for a surgeon. Patient and staff safety, such as allergy prevention, is the top priority.
- Option C: This suggests a logistical issue rather than a deliberate clinical decision. The question asks for a 'possible reason', implying a thoughtful action by the nurse. Allergy prevention is a much stronger and more professional rationale.
- Option D: This option is incorrect because a very clear and valid reason exists. Preventing a potentially severe allergic reaction in the surgeon is a critical safety measure and a strong rationale for the nurse's action.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Latex Allergy Prevention in Healthcare Settings helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- A nurse's role extends to ensuring a safe working environment for all members of the healthcare team, not just patients.
- Proactively identifying and managing allergies (like latex) in colleagues is crucial for preventing adverse events and maintaining a functional surgical team.
- The FDA has banned powdered surgical and patient examination gloves in the U.S. to protect patients and healthcare workers from the associated risks.
How to Approach the Question
- First, analyze the image provided with the question. Look for any text or symbols that provide clues.
- Identify the key term 'Powderfree' on the glove packaging.
- Connect this term to your clinical knowledge. Recall that powder in gloves is associated with latex allergies.
- Evaluate each option based on this key information. The option related to 'allergic tendency' directly aligns with the use of 'powder-free' gloves.
- Eliminate options that are based on non-clinical reasoning (like cost) or represent poor practice/logistical failure (like availability), as these are unlikely to be the correct answer in a competency-based exam.
Concept Tested & Keywords
- Concept Tested: Latex Allergy Prevention in Healthcare Settings
- Stem keywords: nurse, glove, surgeon
- Lead-in keywords: possible reason
- Clinical cues: The image shows 'Powderfree' gloves, which is the primary clue to the answer.
Question ID
Q3VEmrp7zqTu_CfKZiLDYo
Reference Book
E6 Nursing Fundamentals Potter Perry 12e Part 3 p. 1-3
E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 p. 59-61
E6 Nursing Fundamentals Potter Perry 12e Part 6 p. 190-192
Practise the full AIIMS Delhi NO- 2019
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Immunologic Function Questions
- In an immunocompromised patient, the nurse should take infection prevention methods when WBC is:
- A nurse notices redness and itching around intravenous cannula insertion site. What she should suspect?
- Which among the following is NOT a major manifestation of rheumatic fever?
- Which of the following vaccines is contra-indicated in symptomatic HIV infection whose CD4 count is less than 400 cells/$mm^{3}$?
- Which of the following is due to Delayed Hypersensitivity (Type IV) type of reaction?
- What laboratory test is used to monitor disease progression and immune status in HIV-positive patients?
- Which is a chronic inflammatory and autoimmune disease affecting peripheral synovial joints of bone?
- In which of the following clinical conditions, Barrier Nursing is Mandatory?
- What is an early sign of infection in an immunosuppressed patient?
- In rheumatoid arthritis, during the acute phase the values which are significant are
More AIIMS Delhi NO- 2019 Questions
- A nurse is preparing to give bath to admitted patient with perineal problem. Which of the following will help the patient?
- In the absence of nurse from floor, patient falls from bed. This type of injury belongs to:
- Patient's Medical record with all essential information is responsibility of:
- Post-partum women having bleeding within 24 hrs after delivery is called:
- In which condition, distal pulse is preferred rather than apical pulse?
- A pre-eclampsia woman's baby is lying with her mother. Neonate is born in 37 weeks. After 57 hours, when nurse is monitoring vital signs of baby, tem…
- A woman with 3rd day postpartum has complaint of engorgement in both breasts. What is cut off temperature for fever in postpartum women?
- Universal blood donor?
- WHO hand wash time with soap?
- Why it is necessary to remove dark coloured nail paint before surgery?