Identify the marked thing in below procedural picture?

AIIMS Delhi NO - 2018

Medical & Surgical Nursing

Easy

Appeared in: AIIMS Delhi NO - 2018

Explanation

The image shows a long, thin, flexible tube consistent with a nasogastric or nasoenteric feeding tube.
Key identifying features visible are the Y-port connector for feeding/flushing, the yellow color indicating it's for enteral use, and depth markings for placement verification.
These tubes are used to administer nutrition, fluids, and medications directly into the gastrointestinal tract when a patient cannot take them orally.
The small bore (diameter) is designed for patient comfort during short-term use.

Option B: A closed suction catheter is enclosed in a clear plastic sheath to maintain sterility during suctioning of an artificial airway. The tube in the image is exposed and designed for feeding.
Option C: An endotracheal (ET) tube is much wider, shorter, and more rigid. It has a 15mm universal connector and an inflatable cuff at the distal end to seal the airway. The tube in the image lacks these features.
Option D: A hand-held manometer is a pressure gauge device, not a tube for instilling fluids. It is used to measure pressure, for example, in an ET tube cuff.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of Enteral Feeding Tube as background academic context rather than a clinical decision trigger.
Correctly identifying medical tubes is a critical patient safety skill for nurses. Misidentifying a feeding tube could lead to catastrophic errors, such as connecting an enteral feed to an IV line.
The yellow color-coding (ENFit standard) is a safety initiative designed to prevent misconnections between enteral and other systems (e.g., IV, respiratory).
What if the tube was clear and wider? If the tube was clear, wider, and had a blue pigtail vent, it would likely be a Salem Sump tube, which is used for gastric decompression (suctioning) rather than primarily for feeding.

How to Approach the Question

First, carefully examine the image, paying attention to all details of the object shown: its color, shape, size, length, and any connectors or markings.
Identify the key features. In this case, the yellow color, the thin and flexible nature, the Y-port connector, and the black depth markings are crucial clues.
Relate these features to your knowledge of common medical equipment. The Y-port suggests multiple functions (e.g., feeding and flushing), and the markings suggest a need for precise placement measurement.
Evaluate each option against your visual analysis. Ask yourself, 'Does this object match the description of a feeding tube? A suction catheter? An ET tube? A manometer?'
Eliminate the options that do not match. A suction catheter is sheathed, an ET tube is wider with a cuff, and a manometer is a pressure gauge. This process of elimination leaves 'Feeding tube' as the only plausible answer.

Concept Tested & Keywords

Concept Tested: Identification of Enteral Feeding Tube
Stem keywords: procedural picture, identify
Lead-in keywords: Identify
Clinical cues: The image shows a yellow tube with a Y-port, which is characteristic of a feeding tube.

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E6 Nursing Brunner Adult Health 3SA Vol 1 Part 2 pp. 89-91, 90-92