NORCET 2 - 2021 (shift-1)
Medical & Surgical Nursing
Easy
Identify the following drain that is denoted in the image.
Appeared in: NORCET 2 - 2021 (shift-1)
Explanation
- The device shown in the image is a Jackson-Pratt (JP) drain.
- It is identifiable by its distinct grenade-shaped, soft, squeezable bulb, which is connected to a tube emerging from a surgical site.
- The bulb is designed to be compressed to create negative pressure, which provides closed-wound suction to remove fluid from the body.
- This type of drain is commonly used after various surgeries, including abdominal, breast, and orthopedic procedures, to prevent fluid accumulation.
Why Other Options Were Wrong
- Option A: A negative pressure airway is a device related to respiratory support, not surgical drainage. Examples include devices used for non-invasive ventilation, which have no resemblance to the object in the image.
- Option B: A colostomy tube is not a standard term. A colostomy involves a stoma (an opening of the colon to the abdominal wall) and a collection pouch (bag) for feces. It looks very different from the suction bulb system shown.
- Option D: A nephrostomy tube is a thin catheter inserted through the skin into the kidney to drain urine. It connects to a standard urine drainage bag, not a grenade-shaped suction bulb.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of surgical drains as background academic context rather than a clinical decision trigger.
- Proper identification and management of surgical drains are fundamental nursing skills to prevent post-operative complications like seromas, hematomas, and infections.
- Nurses are responsible for monitoring the drainage amount, color, and consistency, maintaining suction, and educating the patient on drain care, especially upon discharge.
- What if the bulb is fully expanded? This indicates a loss of suction. The nurse must first check for kinks in the tubing or clots, then re-compress the bulb to re-establish negative pressure. If it fails to stay compressed, the system may have a leak and the provider should be notified.
How to Approach the Question
- First, carefully observe the image provided. Identify the key components of the device shown: a tube coming from the patient's body and a distinct, bulb-shaped container.
- Note the characteristics of the container: it appears soft, squeezable, and is partially filled with fluid, suggesting a suction mechanism.
- Evaluate each option against your visual analysis.
- Option A (airway) and B (colostomy) relate to different body systems (respiratory and GI) and have very different appearances.
- Differentiate between the remaining drain options. A JP drain uses a bulb for suction, while a nephrostomy tube drains urine into a bag. The device in the image clearly has a suction bulb.
- Conclude that the device is a Jackson-Pratt (JP) drain based on its characteristic grenade-shaped suction bulb.
Concept Tested & Keywords
- Concept Tested: Identification of surgical drains
- Stem keywords: drain, image
- Lead-in keywords: Identify
- Clinical cues: Post-surgical patient with drainage device
- Clinical cues: Bulb-shaped collection container
Question ID
QRkYN32ZMmXPz5z7YfBgu0
Reference Book
E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 p. 122-124
E6 Nursing Fundamentals Taylor p. 1094-1096
Practise the full NORCET 2 - 2021 (shift-1)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Perioperative Concepts and Nursing Management Questions
- The nurse is informed that a client with a large surgical incision is being transferred from the intensive care unit to the surgical unit. What medic…
- Why it is necessary to remove dark coloured nail paint before surgery?
- A patient planned for surgery advised to remove Jewellery because:
- Vicryl 3-0 is:
- All of the following are correct regarding stoma formation; EXCEPT:
- A surgeon is going to give a skin incision on patient. Which of the following is to be done?
- Following is the picture of sterile sponge used in emergency. It has a blue colour thread. What is the purpose of this colour thread?
- How many items are included in the WHO surgical safety checklist: SITOSO?
- In operation theater during cauterization, the electric current passing from a single electrode is called:
- Which position is given to a client by nursing officer, who has been brought from OT after craniotomy surgery?
More NORCET 2 - 2021 (shift-1) Questions
- Which type of bandage used in ankle injury?
- A nurse knows that under the National Family Health Program, the duration of Copper T 380A is?
- Which diet should be avoided in acute renal failure disease?
- What was the first indigenous vaccine in India?
- Which bone is known as the breast bone?
- What is the most common type of episiotomy performed during labor?
- A child comes to the emergency room with acute bronchospasm after a bee sting. What is the most preferred route of adrenaline administration?
- What is the chemical name of Baking soda?
- Which solution is used in the COVID area for disinfection?
- A client is scheduled for a total gastrectomy. The on-duty nursing officer knows that after surgery, this client may be at risk for what condition?