Identify the item in below denote Image?

Appeared in: AIIMS Delhi NO - 2018

Explanation

The device is a tracheostomy tube, identified by its short, curved shape and the presence of a neck flange designed to rest on the patient's neck.
It is a 'cuffed' tube, confirmed by the visible inflatable cuff at the distal tip and the corresponding pilot balloon and inflation line.
The combination of a neck flange and an inflatable cuff is unique to a cuffed tracheostomy tube among the given options.

Option A: An endotracheal (ET) tube is inserted through the mouth or nose and is much longer. It does not have a neck flange for securing it at the neck.
Option B: This is incorrect for two reasons: it is a tracheostomy tube, not an ET tube, and it is cuffed, not uncuffed.
Option D: The image clearly shows an inflatable cuff at the distal end and a pilot balloon, which are absent in an un-cuffed tracheostomy tube.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of airway management equipment, specifically a cuffed tracheostomy tube as background academic context rather than a clinical decision trigger.
Correctly identifying airway devices is a critical nursing skill to ensure proper use, patient safety, and appropriate emergency response.
Management of a cuffed tracheostomy tube includes monitoring cuff pressure (typically 20-30 cm H₂O) to ensure an adequate seal without causing tracheal tissue damage (necrosis).
Emergency equipment, including a spare tracheostomy tube of the same size and one size smaller, an obturator, and suction equipment, must always be kept at the bedside of a patient with a tracheostomy.

How to Approach the Question

First, carefully examine the image to identify key components of the medical device shown.
Note the prominent features: a short, curved tube; a flat plate (flange) at the top; and a balloon-like structure (cuff) at the bottom tip with an attached line and smaller balloon (pilot balloon).
The presence of the neck flange immediately suggests it is a tracheostomy tube, designed for insertion through a stoma in the neck, ruling out endotracheal (ET) tubes.
The presence of the inflatable cuff and pilot balloon confirms that it is a 'cuffed' tube.
Combine these observations ('cuffed' + 'tracheostomy tube') to select the most accurate option from the list.

Concept Tested & Keywords

Concept Tested: Identification of airway management equipment, specifically a cuffed tracheostomy tube.
Stem keywords: Identify, item, Image
Lead-in keywords: Identify

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E6 Nursing Fundamentals Taylor p. 736-738

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