AIIMS Delhi NO - 2018
Fundamental of Nursing
Easy

Identify the size of the cannula shown here?

Healwell 20 Gauge Polycath IV Cannula at ₹ 9/piece in Rajkot | ID:  19031227273

Appeared in: AIIMS Delhi NO - 2018

Explanation

  • Intravenous (IV) cannulas are universally color-coded for quick and safe identification of their size (gauge).
  • The cannula shown in the image has a pink hub.
  • According to the standard color-coding system, pink indicates a 20-gauge cannula.
  • This size is commonly used for routine IV fluid administration, medication delivery, and some blood transfusions in adult patients.

Why Other Options Were Wrong

  • Option B: An 18-gauge cannula is color-coded green.
  • Option C: A 16-gauge cannula is color-coded grey.
  • Option D: A 14-gauge cannula is color-coded orange.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain IV cannula size identification by color code as background academic context rather than a clinical decision trigger.
  • Correctly identifying the cannula gauge is critical for patient safety. Using a cannula that is too small can delay the administration of life-saving fluids or medications, while one that is too large can cause unnecessary pain and vein damage.
  • A key nursing principle is 'the smaller the gauge number, the larger the diameter of the cannula.' This means a 14G cannula is much larger than a 20G cannula.
  • What if the patient required a rapid blood transfusion for trauma? The nurse would need to select a larger bore cannula, such as a 16G (grey) or 18G (green), as the 20G (pink) cannula's flow rate of 60 mL/min might be too slow.
How to Approach the Question
  • First, carefully observe the image provided with the question.
  • Identify the key distinguishing feature of the object, which in this case is the pink color of the IV cannula's hub.
  • Recall the standardized color-coding system used for IV cannulas to associate the color with a specific gauge size.
  • Match the identified color (pink) to its corresponding gauge (20G).
  • Select the option that matches your finding.
Concept Tested & Keywords
  • Concept Tested: IV cannula size identification by color code
  • Stem keywords: cannula, size, identify
  • Lead-in keywords: Identify
  • Clinical cues: Image of a pink IV cannula

Question ID

Q979HxvfuaSYoTqU0g4rU9

Reference Book

E6 Nursing Fundamentals Taylor pp. 1092-1094, 819-821

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