AIIMS Delhi NO - 2018
Medical & Surgical Nursing
Easy
Identify the item in the image below?
Appeared in: AIIMS Delhi NO - 2018
Explanation
- The item shown is a cuffed tracheostomy tube, which is correctly identified by its short, curved structure designed for insertion into a tracheal stoma.
- The presence of an inflatable cuff (balloon) near the distal tip and an associated inflation line with a pilot balloon confirms it is a 'cuffed' type.
- The flange, or neck plate, is a characteristic feature of tracheostomy tubes, used to secure the device to the patient's neck.
- This combination of features (short, curved, cuffed, with a flange) is unique to a cuffed tracheostomy tube among the given options.
Why Other Options Were Wrong
- Option A: An endotracheal (ET) tube is much longer and less curved than the device shown. It is designed for insertion through the mouth or nose into the trachea, not a surgical stoma in the neck.
- Option B: This option is incorrect for two reasons: it is an endotracheal tube (wrong type), and the device in the image clearly has a cuff, whereas this option specifies 'un-cuffed'.
- Option D: While the device is a tracheostomy tube, it is not 'un-cuffed'. The inflatable cuff is a prominent feature in the image. Uncuffed tubes lack this balloon.
Related Visual
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 as background academic context rather than a clinical decision trigger.
- Nurses must be able to rapidly and accurately identify different airway devices to provide safe care, especially during airway emergencies.
- Management of a cuffed tracheostomy tube includes regular monitoring of cuff pressure (usually 20-30 cm H₂O) to ensure an adequate seal without causing tracheal tissue damage, as well as routine stoma care.
- The presence of a cuff generally means the patient cannot speak. Patient communication strategies, such as writing boards or speaking valves (used when appropriate), are crucial nursing considerations.
How to Approach the Question
- First, analyze the overall shape and length of the tube in the image. A short, curved tube with a prominent neck flange is characteristic of a tracheostomy tube. A long, less-curved tube suggests an endotracheal tube.
- Second, examine the distal end of the tube for the presence of a cuff. Look for a balloon-like structure and an accompanying inflation line with a pilot balloon.
- Synthesize these two findings. The image shows a short, curved tube (tracheostomy) with a cuff (cuffed).
- Compare this conclusion with the given options to select the most accurate description: Cuffed Tracheostomy Tube.
Concept Tested & Keywords
- Concept Tested: Identification of airway management equipment
- Stem keywords: Identify the item, image
- Lead-in keywords: Identify
- Negative lead-in flag: false
Question ID
Qu0lycSHO8EkjgWVeMdLcc
Reference Book
E6 Nursing Fundamentals Taylor p. 736-738
Practise the full AIIMS Delhi NO - 2018
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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