NORCET 9 Mains - 2025: Identify the surgical instrument shown in the image. & x20;

NORCET 9 Mains - 2025

Medical & Surgical Nursing

Easy

Appeared in: NORCET 9 Mains - 2025

Explanation

The instrument in the image is a Deaver retractor, a type of large, handheld retractor.
Its key identifying feature is its distinctive question mark or deep 'C' shape, formed from a single flat strip of metal.
It is designed for retracting deep tissues and organs within the abdominal or thoracic cavities.
Unlike self-retaining retractors, it must be held by a surgical assistant and lacks any locking mechanism, hinges, or teeth.

Option A: A Weitlaner is a self-retaining retractor, identifiable by its ratchet lock mechanism and rake-like prongs (sharp or blunt) at the tips. The instrument in the image is handheld and lacks these features.
Option B: An Army-Navy retractor is a double-ended, handheld retractor with two flat, L-shaped blades of different sizes at each end. It is much smaller than the instrument shown and is used for retracting shallow or superficial incisions.
Option C: A Doyen's retractor is also a handheld abdominal retractor, but it features a wide, curved, saddle-shaped blade. It is specifically designed for retracting the bladder or the anterior abdominal wall during pelvic or abdominal surgery. Its blade shape is distinctly different from the simple, curved strip of a Deaver.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Surgical Instrument Identification as background academic context rather than a clinical decision trigger.
A scrub nurse's ability to quickly and accurately identify surgical instruments like the Deaver retractor is crucial for the smooth progression of surgery. Anticipating the surgeon's needs prevents delays.
Patient Safety: Using the correct retractor is vital. A Deaver's smooth, broad surface is designed to retract delicate organs without causing injury, which is a risk if an inappropriate instrument were used.
Instrument Count: As with all surgical items, retractors are part of the mandatory surgical count (before, during, and after the procedure) to prevent retained surgical instruments, a serious patient safety event.

How to Approach the Question

First, carefully observe the key features of the instrument in the image. Note its overall shape, size, and any distinct parts like blades, handles, or locking mechanisms.
The instrument is large, made of a single piece of metal, and has a prominent 'S' or question-mark curve. It is clearly a handheld retractor as it lacks finger rings or a ratchet.
Next, consider the provided options. Evaluate each option based on your knowledge of surgical instruments.
Weitlaner: This is a self-retaining retractor with teeth and a lock. This does not match the image.
Army-Navy: This is a smaller, double-ended retractor for superficial use. This does not match the image.
Doyen's: This has a wide, fan-shaped blade. This does not match the image.

Concept Tested & Keywords

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E6 Gynecology Williams p. 429-437