Identify use of the instrument that denote in the following image?

NORCET 2 -2021 (Shift-2)

Medical & Surgical Nursing

Easy

Appeared in: NORCET 2 -2021 (Shift-2)

Explanation

The image displays a scalpel handle, a reusable instrument designed to hold disposable blades.
Its primary and direct function is to securely attach ('fix') a surgical blade, allowing the surgeon to make precise incisions.
The handle itself is not sharp; it serves as the holder for the cutting component (the blade).
This specific handle has ruler markings, a feature that aids in measuring tissues or incision lengths during surgery.

Option B: Dissection is performed by the sharp blade that is attached to the handle, not by the handle itself. The handle only provides the grip and control.
Option C: Similar to dissection, cutting the skin is the function of the sharp blade. The handle's role is to hold this blade securely.
Option D: Ear examinations are conducted using a specialized instrument called an otoscope, which has a light source and a magnifying lens.

Visual 1: Diagram - A diagram illustrating the correct and safe technique for attaching and removing a scalpel blade from the handle using a needle holder or forceps. This reinforces the critical aspect of sharps safety.
Visual 2: Infographic - An infographic showing various types of common scalpel blades (e.g., #10, #11, #15, #20) and labeling their specific shapes and primary surgical uses (e.g., #11 for stab incisions, #10 for large skin incisions).

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification and function of surgical instruments as background academic context rather than a clinical decision trigger.
Sharps safety is a paramount concern in the operating room. Nurses must ensure that blades are always handled with an instrument, such as a needle holder, never with fingers, to prevent serious injury.
The nurse assisting in surgery is responsible for passing the scalpel to the surgeon in a safe manner, typically by placing it in a neutral zone (a designated area like a kidney tray) to avoid hand-to-hand transfer.
What if? If a healthcare worker sustains a cut from a used scalpel blade, it is considered a significant exposure. They must immediately follow the hospital's post-exposure prophylaxis (PEP) protocol for blood-borne pathogens like HIV, Hepatitis B, and Hepatitis C.

How to Approach the Question

First, carefully examine the image to identify the instrument. Note its key features: a handle shape, a tip designed for attachment, and ruler markings.
Recognize the instrument as a scalpel handle (Bard-Parker handle).
Recall the primary function of this instrument. Its sole purpose is to hold a separate, disposable blade.
Evaluate the given options based on this primary function. Option A directly describes the handle's purpose.
Options B and C describe the action of the blade, not the handle itself. D describes the function of a completely different instrument (otoscope).
Conclude that the most accurate answer is the one describing the handle's role in 'fixing' the blade.

Concept Tested & Keywords

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