Identify the following image?& x20; - AIIMS Rishikesh & Jodhpur NO - 2017

AIIMS Rishikesh & Jodhpur NO - 2017

Medical & Surgical Nursing

Easy

Appeared in: AIIMS Rishikesh & Jodhpur NO - 2017

Explanation

The device in the image is a Laryngeal Mask Airway (LMA).
It is identifiable by its distinct features: a ventilation tube connected to an elliptical, inflatable cuff (the mask).
This mask is designed to sit in the hypopharynx and create a seal around the laryngeal inlet, allowing for ventilation without entering the trachea.
LMAs are considered supraglottic airway devices and are commonly used for anesthesia and in difficult airway algorithms.

Option B: An oxygen mask is designed to fit over the patient's nose and mouth to deliver supplemental oxygen. It does not have an internal component that is inserted into the pharynx.
Option C: An endotracheal (ET) tube is a long, narrow tube that is inserted through the mouth or nose, past the vocal cords, and into the trachea. It does not have the large, oval-shaped mask seen on the LMA.
Option D: While an LMA is technically a type of single-lumen airway, this term is too general and not the most accurate or specific description. The term 'single lumen airway' often refers to simpler devices like an oropharyngeal airway (OPA) or nasopharyngeal airway (NPA), which look very different.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of airway management devices as background academic context rather than a clinical decision trigger.
LMAs are crucial tools in anesthesia for short procedures and are a key component of the difficult airway algorithm when intubation fails.
Nurses, especially in perioperative and emergency settings, must be able to quickly identify an LMA, assist with its insertion, monitor cuff pressure, and assess for effective ventilation.
What if? If the patient has a full stomach or is at high risk for aspiration, an LMA is generally contraindicated. In this case, a cuffed endotracheal tube would be the preferred airway to protect the lungs from gastric contents.

How to Approach the Question

First, carefully examine the image and identify the key components of the device shown. Note the tube, the shape of the end piece (an oval mask), and the inflation line.
Next, review the provided options: LMA, Oxygen mask, ET tube, Single lumen airway.
Compare the visual features of the device in the image with the known characteristics of each option.
Eliminate options that do not match. An oxygen mask is external. An ET tube is a simple long tube without a large mask.
Recognize that 'LMA' specifically describes the device with the laryngeal mask cuff, making it the most precise and correct answer over the general term 'single lumen airway'.

Concept Tested & Keywords

Qdg10v2twOXmb-1RcdewmO

E6 Nursing Brunner Adult Health 3SA Vol 2 Part 3 p. 115-117

E6 Nursing Fundamentals Taylor p. 734-736