ANSWER ALL SIX QUESTIONS
PART A
1.
1.1. Give one most useful investigation for each of the following condition
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1.1.1. Liver abscess (02 Marks)1.1.2. Gastric ulcer (02 Marks)
1.1.3. Carcinoma of the oesophagus (02 Marks)
1.1.4. Calculus cholecystitis (02 Marks)
1.1.5. Carcinoma of colon (02 Marks)
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1.1.6. Perforated peptic ulcer (02 Marks)1.1.7. Intestinal obstruction (02 Marks)
1.1.8. HIRSCHSPRING'S disease (02 Marks)
1.1.9. Duodenal atresia (02 Marks)
1.1.10. Acute pancreatitis (02 Marks)
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1.2. How will you prepare a patient for upper GI endoscopy (20 Marks)1.3. Describe the post-operative nursing management of a patient underwent
bowel resection for volvulus (60 Marks)
2.
2.1. Describe pre-operative preparation of a patient awaiting for
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Gastro-oesophagectomy for carcinoma of oesophagus (60 Marks)2.2. What are the common causes for obstructive jaundice (10 Marks)
2.3. List the useful investigations in a patient with obstructive jaundice (30 Marks)
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UNIVERSITY OF JAFFNA - SRI LANKABACHELOR OF SCIENCE IN NURSING
SECOND YEAR SECOND SEMESTER EXAMINATION ? JULY - 2015
NURAH 2202 ?ADULT HEALTH NURSING I
PAPER II
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Date: 13.07.2015 Time: 2 hourANSWER ALL SIX QUESTIONS
PART A
1.
1.1. Give one most useful investigation for each of the following condition
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1.1.1. Liver abscess (02 Marks)1.1.2. Gastric ulcer (02 Marks)
1.1.3. Carcinoma of the oesophagus (02 Marks)
1.1.4. Calculus cholecystitis (02 Marks)
1.1.5. Carcinoma of colon (02 Marks)
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1.1.6. Perforated peptic ulcer (02 Marks)1.1.7. Intestinal obstruction (02 Marks)
1.1.8. HIRSCHSPRING'S disease (02 Marks)
1.1.9. Duodenal atresia (02 Marks)
1.1.10. Acute pancreatitis (02 Marks)
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1.2. How will you prepare a patient for upper GI endoscopy (20 Marks)1.3. Describe the post-operative nursing management of a patient underwent
bowel resection for volvulus (60 Marks)
2.
2.1. Describe pre-operative preparation of a patient awaiting for
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Gastro-oesophagectomy for carcinoma of oesophagus (60 Marks)2.2. What are the common causes for obstructive jaundice (10 Marks)
2.3. List the useful investigations in a patient with obstructive jaundice (30 Marks)
1
PART B
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3.3.1. List the types of Anesthesia
3.2. List the common Post-operative complications related to Anesthesia
3.3. What are the parameters to be observed before transferring the
patient from recovery
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3.4. Briefly Describe how you will prepare a patient for colonoscopy4.
4.1. Write the classification of dental caries?
4.2. Briefly describe how you will prevent the dental caries
4.3. List the signs & Symptoms of dento-alveolar abscess
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4.4. Briefly describe how you will advise a patient regarding the denture use(20 Marks)
(30 Marks)
(20 Marks)
(30 Marks)
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(20 Marks)(30 Marks)
(20 Marks)
(30 Marks)
PART C
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5. As a nursing officer, outline the steps in the management of the followingtwo clinical scenarios
5.1. A 50 year old gentleman was admitted to the emergency unit with the history
of russels viper bite 12 hrs ago. He had haematuria, low urine output, and
gum bleeding on admission. His blood pressure was 90/50 mmHg. (50 Marks)
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5.2. A 25 year old pregnant lady with POA of 36weeks was admitted tocasualtymedical unit with fever, difficulty in breathing for 3days duration
on admission her pulse rate was 130/mins, low volume and respiratory rate
was 32/mins with pulseoxymeter reading 90% on air. Clinically H
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N1
influenza infection was suspected. (50 Marks)
6.
6.1. What are the clinical features of anaphylaxis
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6.2. What will you do, when a patient in ward develops anaphylaxis for aMedication.
6.3. What parameters you will monitor in a patient with severe sepsis
6.4. List 3 causes for hospital acquired infections
(30 Marks)
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(25 Marks)(30 Marks)
(15 Marks)
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