NORCET 5 Prelims - Sept 2023 (Shift-1)
Medical & Surgical Nursing
Easy

Identify the following image?

Appeared in: NORCET 5 Prelims - Sept 2023 (Shift-1)

Explanation

  • The image displays an incentive spirometer, a handheld medical device used to promote deep breathing and optimal lung expansion.
  • It features a mouthpiece connected to a clear plastic chamber with volume indicators and a piston that rises during inhalation, matching the device shown.
  • The primary clinical purpose is to prevent postoperative pulmonary complications such as atelectasis by encouraging sustained maximal inspiration.

Why Other Options Were Wrong

  • Option B: A PET machine is a large, donut-shaped imaging scanner used in radiology to detect metabolic activity, not a handheld respiratory device.
  • Option C: A spacer is a simple tube attached to a metered-dose inhaler to improve medication delivery to the lungs. It lacks the volume measurement chambers and piston seen in the image.
  • Option D: A Venturi mask is an oxygen delivery device that fits over the patient's nose and mouth to provide a precise fraction of inspired oxygen (FiO2). It does not match the handheld device shown.

Related Visual

step infographic demonstrating the correct technique for using a volume-oriented incentive spirometer, including patient positioning, inhalation, holding the breath, and frequen...
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of common medical respiratory devices as background academic context rather than a clinical decision trigger.
  • Incentive spirometry is highly recommended following abdominal or thoracic surgeries to counteract the shallow breathing caused by pain and anesthesia, thereby preventing atelectasis.
  • Nurses play a crucial role in patient education, instructing them to inhale slowly and deeply, hold their breath for 3-5 seconds at maximal inspiration, and perform 10-15 breaths every hour while awake.
  • What if the patient experiences severe incisional pain during use? The nurse should teach the patient to splint the incision with a pillow and administer prescribed analgesics before the breathing exercises to facilitate effective use and patient comfort.
How to Approach the Question
  • First, carefully analyze the visual features of the device shown in the image.
  • Note the key components: a clear plastic chamber with volume markings, a flexible tube, and a mouthpiece. These are characteristic of a breathing exercise device.
  • Recall the different types of respiratory therapy equipment you have studied.
  • Compare the visual evidence with the descriptions of the options provided.
  • Eliminate options that do not match. A PET machine is a large scanner, a spacer is an inhaler attachment, and a Venturi mask is an oxygen mask.
  • Conclude that the device is an incentive spirometer based on its structure and function.
Concept Tested & Keywords
  • Concept Tested: Identification of common medical respiratory devices.
  • Stem keywords: Identify, image
  • Lead-in keywords: Identify

Question ID

QGzxvDpz2YWa9llBwYhfpr

Reference Book

E6 Nursing Fundamentals Potter Perry 12e Part 4 p. 254-255

E6 Nursing Fundamentals Taylor p. 724-726

Practise the full NORCET 5 Prelims - Sept 2023 (Shift-1)

Attempt every question from this paper in a timed mock, then review the full solution for each one.

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