Identify the following instrument?& x20; - AIIMS Delhi NO - 2018

AIIMS Delhi NO - 2018

Medical Surgical Nursing

Easy

Appeared in: AIIMS Delhi NO - 2018

Explanation

The instrument in the image is a Sponge Holding Forceps.
Its defining features are the long shaft, ring handles, a ratchet lock, and looped (fenestrated), serrated jaws.
This design is specifically for securely holding sponges or gauze for tasks like surgical site preparation (painting) and absorbing fluids.
The length allows access to deep surgical sites while maintaining a sterile field.

Option B: Artery forceps have shorter, stronger jaws with full serrations designed for clamping and crushing blood vessels to achieve hemostasis. They do not have the looped tips needed to hold a sponge effectively.
Option C: Cheatle forceps are very long, heavy instruments, typically without a locking mechanism. They are used as a utility tool to transfer sterile instruments, drapes, or other supplies from a sterile container (like a boiler or autoclave drum) to the sterile field, not for direct use on the patient.
Option D: Mosquito forceps are a type of small, fine-tipped artery forceps. They are used for delicate procedures to clamp very small blood vessels. Their size and fine jaws make them unsuitable for holding large, bulky items like sponges.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of common surgical instruments as background academic context rather than a clinical decision trigger.
Correctly identifying and using surgical instruments is a fundamental skill for perioperative nurses to ensure patient safety and surgical efficiency.
Using the wrong instrument can lead to complications such as tissue damage, ineffective procedure, or contamination of the sterile field.
Sponge Holding Forceps are crucial for maintaining a clear surgical field by effectively managing blood and fluids, and for preparing the skin with antiseptic solutions.

How to Approach the Question

First, carefully examine the image of the instrument, paying close attention to its key features.
Note the overall length, the shape of the handles (ring handles), the presence of a locking mechanism (ratchet), and most importantly, the design of the tip/jaws.
In this image, the key feature is the looped or fenestrated jaws, which are designed to hold something bulky.
Next, evaluate the given options based on your knowledge of surgical instruments.
Compare the features you observed with the known function of each instrument listed in the options.
Sponge Holding Forceps are known for their looped jaws. Artery, Cheatle, and Mosquito forceps have different jaw designs for their specific functions (clamping vessels, transferring items). This match confirms the correct answer.

Concept Tested & Keywords

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E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 pp. 79-81, 80-82