NORCET 3 - 2022 (Shift-1)
Medical & Surgical Nursing
Easy
Identify the given Image? 
Appeared in: NORCET 3 - 2022 (Shift-1)
Explanation
- The device shown is a Foley catheter, also known as an indwelling urinary catheter.
- The key identifying feature visible in the image is the inflatable balloon near the tip, which is used to secure the catheter within the patient's bladder.
- The Y-shaped end has two ports: a larger one for urine to drain out and a smaller one with a valve used to inflate the balloon with sterile water.
- This dual-lumen design with an anchoring balloon is characteristic of a Foley catheter and distinguishes it from other medical tubes.
Why Other Options Were Wrong
- Option A: A feeding tube (or NG tube) is used to provide nutrition directly to the stomach or small intestine. It does not have an inflatable balloon at the tip for anchoring in the bladder.
- Option C: A suction tube (like a Yankauer) is a rigid or semi-rigid instrument with a large opening at the tip, designed for aspirating secretions from the mouth or a surgical site. It is not an indwelling catheter and lacks a balloon.
- Option D: An NG (nasogastric) tube is a specific type of feeding tube. As with other feeding tubes, it is designed for nutritional support or gastric decompression, not urinary drainage, and lacks the characteristic anchoring balloon of a Foley catheter.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of common medical equipment as background academic context rather than a clinical decision trigger.
- Proper identification is crucial for patient safety. Using a Foley catheter for feeding would be a critical error.
- Nurses are responsible for Foley catheter care, which includes maintaining a sterile, closed drainage system to prevent Catheter-Associated Urinary Tract Infections (CAUTIs).
- The drainage bag must always be kept below the level of the bladder to prevent the backflow of urine, which increases infection risk.
How to Approach the Question
- First, carefully examine the image provided, paying close attention to the unique features of the medical device.
- Identify the key components: notice the flexible tube, the balloon structure at the tip, and the two distinct ports at the other end.
- Consider the function of these components. An inflatable balloon suggests an anchoring mechanism inside a body cavity. A drainage port suggests the removal of fluid.
- Evaluate the given options based on your observations. A 'Feeding Tube' or 'NG Tube' is for nutrition, not urinary drainage, and lacks this type of balloon.
- A 'Suction Tube' is for aspirating fluids and has a different, typically more rigid, structure.
- Conclude that the device's features (anchoring balloon, drainage port) perfectly match the description of a 'Foley Catheter' used for indwelling urinary drainage.
Concept Tested & Keywords
- Concept Tested: Identification of common medical equipment
- Stem keywords: Identify, Image
- Lead-in keywords: BEST, MOST RELEVANT CLUE
- Negative lead-in flag: false
Question ID
QvVL-saNi_w5wjyauTlMSK
Reference Book
E6 Nursing Fundamentals Taylor p. 510-512
E6 Nursing Brunner Adult Health 3SA Vol 1 Part 2 pp. 89-91, 90-92
Practise the full NORCET 3 - 2022 (Shift-1)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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