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

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

Explanation

The instrument shown is a scalpel handle, also known as a Bard-Parker handle.
Its primary and most fundamental function is to securely hold (fix) an interchangeable surgical blade.
The handle itself is not used for cutting but enables the surgeon to safely and effectively use the sharp blade attached to it.
The specific model in the image is a No. 3 handle, which is compatible with smaller blades like the #10, #11, and #15.

Option B: Dissection of tissues is performed by the sharp surgical blade, not the handle alone. The handle's role is to hold the blade that performs the dissection.
Option C: Cutting the skin is done with the attached blade. The handle's purpose is to provide a grip and control for the blade.
Option D: Ear examinations are performed using an otoscope, which is a specialized instrument with a light and a magnifying lens designed to look into the ear canal.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Surgical Instrument Identification and Function as background academic context rather than a clinical decision trigger.
A nurse's role in the operating room includes preparing instruments like the scalpel by correctly and safely loading the blade onto the handle. This is a critical patient safety and staff safety skill.
Understanding which handle corresponds to which blade is essential for anticipating the surgeon's needs and ensuring the procedure runs smoothly.
What if? If a nurse hands a surgeon a scalpel handle without a blade when an incision is needed, it causes a delay and breaks the flow of the surgery. If they load the wrong blade size, it won't fit or could detach, posing a significant risk of injury.

How to Approach the Question

First, carefully examine the image to identify the instrument. Note its key features: a flat handle, a tip designed for attachment, a textured grip, and a ruler.
Recognize the instrument as a scalpel handle (Bard-Parker handle).
Consider the primary, most fundamental function of this specific part. While the complete tool cuts, the handle's job is to hold the part that cuts.
Evaluate the options. 'Use for fix surgical blade' directly describes the handle's specific purpose.
Analyze the other options. 'Dissection' and 'cut the skin' describe the action of the combined tool (handle + blade), making them less precise answers for the handle alone.
Eliminate 'Use for ear examination' as it involves a completely different instrument (otoscope).

Concept Tested & Keywords

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E6 Gynecology Williams p. 429-435

Practise the full NORCET 2 -2021 (Shift-2)

Attempt every question from this paper in a timed mock, then review the full solution for each one.