Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Medical Surgical Nursing
Easy
The device shown in the image is used in the management of which condition?
Appeared in: Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Explanation
- The image displays a Sequential Compression Device (SCD) or Intermittent Pneumatic Compression (IPC) device.
- This device works by applying intermittent pressure to the legs, which enhances venous blood flow and prevents venous stasis.
- Preventing venous stasis is the primary mechanism for reducing the risk of Deep Vein Thrombosis (DVT), especially in immobile or postoperative patients.
Why Other Options Were Wrong
- Option A: Varicose veins are managed with graduated compression stockings which provide sustained pressure, not the intermittent pressure of an SCD. Other treatments include sclerotherapy and surgery.
- Option B: Hypothermia is a low core body temperature and is treated with warming devices like forced-air warmers (Bair Hugger) or warm blankets. SCDs provide pressure, not heat.
- Option C: Cellulitis is a bacterial skin infection. Treatment involves antibiotics and limb elevation. Applying a compression device to an inflamed, infected area would be painful and is contraindicated.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Mechanical prophylaxis for Deep Vein Thrombosis (DVT) as background academic context rather than a clinical decision trigger.
- Nurses are responsible for ensuring SCDs are applied correctly, fit properly (not too tight or loose), and are functioning. Skin integrity under the sleeves must be assessed regularly.
- DVT prophylaxis is a critical patient safety measure for high-risk individuals, including postoperative, immobile, and critically ill patients.
- What if? - If a patient has a confirmed, active DVT, SCDs are contraindicated on the affected limb. The pressure could dislodge the clot, causing it to travel to the lungs and result in a life-threatening pulmonary embolism.
How to Approach the Question
- First, carefully examine the image to identify the medical device. Recognize the inflatable sleeves wrapped around the legs and the tubing connected to a pump.
- Identify this device as a Sequential Compression Device (SCD) or Intermittent Pneumatic Compression (IPC) device.
- Recall the primary clinical purpose of an SCD, which is to prevent blood clots by promoting circulation in the legs.
- Evaluate the given options: Varicose veins, Hypothermia, Cellulitis, and DVT.
- Match the device's function to the correct condition. The prevention of blood clots directly relates to Deep Vein Thrombosis (DVT).
- Rule out the other options by considering their standard treatments, which do not involve SCDs.
Concept Tested & Keywords
- Concept Tested: Mechanical prophylaxis for Deep Vein Thrombosis (DVT)
- Stem keywords: device, image, management, condition
- Lead-in keywords: which condition
- Clinical cues: Image shows inflatable sleeves on legs connected to a pump, characteristic of an SCD.
Question ID
Qz6DuumKaO0qmSEKeJkjz0
Reference Book
E6 Nursing Fundamentals Potter Perry 12e Part 4 p. 153-155
E6 Nursing Brunner Adult Health 3SA Vol 1 Part 3 p. 80-82
Practise the full Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Deep Vein Thrombosis Questions
- SCD (Sequential Compressive Device) used for treatment of DVT patients, ensures:
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- While caring for a patient with DVT, which among the following is most suitable?
- The most important risk of deep vein thrombosis (DVT) is?
- Which one of the following interventions should be avoided by the nurse while caring for a client with deep vein thrombosis?
- What is the positive sign that can be seen in deep vein thrombosis?
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