AIIMS Delhi NO - 2017
Medical & Surgical Nursing
Easy
Identify the following image?
Appeared in: AIIMS Delhi NO - 2017
Explanation
- The device in the image is correctly identified as a defibrillator.
- The key visual evidence is the presence of two paddles, which are exclusively used for delivering an electrical current to the heart to correct life-threatening arrhythmias.
- The screen displays the patient's electrocardiogram (ECG), indicating its dual function as a cardiac monitor, but its primary life-saving capability is defibrillation.
- This type of manual defibrillator/monitor is standard equipment on emergency crash carts in hospitals.
Why Other Options Were Wrong
- Option A: A chest decompressor, or automatic CPR machine (e.g., LUCAS device), provides mechanical chest compressions. The device in the image has paddles for electrical shocks, not a mechanism for CPR.
- Option B: While this is a type of defibrillator, the term 'Automated defibrillator machine' (AED) usually refers to simpler devices used in public spaces by laypersons. The device shown has complex controls and paddles, characteristic of a manual defibrillator used by trained medical staff.
- Option D: An ECG machine is a purely diagnostic tool that records and prints the heart's electrical activity. It does not have the capability to deliver an electrical shock.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of emergency medical equipment as background academic context rather than a clinical decision trigger.
- Proficiency in using a defibrillator is a core competency for nurses, especially in critical care, emergency, and telemetry units.
- During a cardiac arrest (Code Blue), rapid and effective defibrillation for shockable rhythms (like Ventricular Fibrillation) is a key determinant of patient survival.
- Nurses are often responsible for performing daily checks on the crash cart defibrillator to ensure it is functional, fully charged, and that supplies (like gel and pads) are present.
How to Approach the Question
- First, carefully examine the image to identify the main components of the device shown.
- Note the presence of a screen displaying a heart rhythm and, most importantly, the two paddles connected by cables.
- Consider the primary function of each component. The paddles are used to deliver an electrical shock.
- Evaluate the given options based on this primary function. An 'ECG machine' only monitors. A 'Chest Decompressor' performs CPR. Both 'Automated defibrillator' and 'Defibrillator' deliver shocks.
- Differentiate between the remaining options. The device's complexity and paddles suggest a manual defibrillator used by professionals, making 'Defibrillator' the most accurate and general term.
- Select the option that best describes the device's primary, life-saving function based on the visual evidence.
Concept Tested & Keywords
- Concept Tested: Identification of emergency medical equipment
- Stem keywords: Identify, image
- Lead-in keywords: Identify
Question ID
QRppAmrz3AS-Fmmc3nSIGV
Reference Book
E6 Nursing Fundamentals Potter Perry 12e Part 5 p. 7-9
E6 Medicine Macleod Clinical Examination 15e p. 74-76
Practise the full AIIMS Delhi NO - 2017
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Cardiovascular, Circulatory, and Hematologic Function Questions
- A patient was brought to ED with complaint of chest pain from last 1 hour. Which test is done to detect myocardial infarction?
- A patient is undergoing blood transfusion and suddenly shows complaints of transfusion reaction. What will be the priority nursing intervention?
- Normal hemoglobin level in adult is:
- The following all are blood transfusion complications from; EXCEPT:
- Symptoms of acute blood loss are:
- An obstruction of blood flowing from the left atrium into the left ventricle is known as:
- 'Sequestration crisis' is related to:
- Which is the most common HIV related malignancy?
- Calculate the pulse pressure from the below image of cardiac monitor:
- Identify the use of following machine used in pneumatic compression device:
More AIIMS Delhi NO - 2017 Questions
- Which is a live attenuated vaccine?
- The injection haloperidol is given intramuscularly by which technique?
- One of the most initial things that should be done by a nurse while going to a home visit?
- Most common type of shock in a trauma patient?
- Intraspinal medication is given in which IVD space?
- Most common cause of hypotension in trauma patients?
- Which blood group can be used in an emergency or when the desired blood group is not available?
- CSF draining from the nose and ear occurs in which type of skull fracture?
- Which characteristic of stool indicates normal functioning of an ascending colostomy?
- Allen test should be performed before?