Download University of Jaffna, Sri Lanka (University of Sri Lanka,) B.Sc Nursing Second Year (2nd Year) (Bachelor of Science in Nursing) 2016 August 2225 Principles And Practice In Adult Health Nursing I Last 10 Years 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011 and 2010 Previous Question Papers.
BACHELOR OF SCIENCE IN NURSING
SECOND YEAR SECOND SEMESTER EXAMINATION ? AUG 2016
NURAH 2225 PRINCIPLES AND PRACTICE IN ADULT HEALTH
NURSING I - PAPER II
Date: 11.08.2016 Time: 02 Hours
ANSWER ALL SIX QUESTIONS
Answer the part A,B &C in separate booklets
PART A
1. A 72 year, lady has undergone anterior resection for rectal cancer. On post-operative day six
she developed deep vein thrombosis in left leg.
1.1.Enumerate the clinical features of the deep vein thrombosis. (20 marks)
1.2. What are risk factors you could identify for deep vein thrombosis
in this lady? (15 marks)
1.3.How would you confirm the diagnosis of deep vein thrombosis? (10 marks)
1.4.Discuss the treatment of deep vein thrombosis in brief. (30 marks)
1.5.How could the deep vein thrombosis be prevented in this lady? (25 marks)
PART B
2.
2.1.A 62 year, male patient admitted to surgical ward with the history of bleeding per rectum.
He was diagnosed to have carcinoma of rectum
2.1.1. What are the useful investigations in the diagnosis and treatment
of this patient (20 marks)
2.1.2. How will you prepare this patient for abdomino-perinealresection
and permanent colostomy (30 marks)
2.2.
2.2.1. Describe the post-operative management of haemorrhoidectomy (30 marks)
2.2.2. List the painful perineal conditions (20 marks)
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UNIVERSITY OF JAFFNA, SRI LANKA
BACHELOR OF SCIENCE IN NURSING
SECOND YEAR SECOND SEMESTER EXAMINATION ? AUG 2016
NURAH 2225 PRINCIPLES AND PRACTICE IN ADULT HEALTH
NURSING I - PAPER II
Date: 11.08.2016 Time: 02 Hours
ANSWER ALL SIX QUESTIONS
Answer the part A,B &C in separate booklets
PART A
1. A 72 year, lady has undergone anterior resection for rectal cancer. On post-operative day six
she developed deep vein thrombosis in left leg.
1.1.Enumerate the clinical features of the deep vein thrombosis. (20 marks)
1.2. What are risk factors you could identify for deep vein thrombosis
in this lady? (15 marks)
1.3.How would you confirm the diagnosis of deep vein thrombosis? (10 marks)
1.4.Discuss the treatment of deep vein thrombosis in brief. (30 marks)
1.5.How could the deep vein thrombosis be prevented in this lady? (25 marks)
PART B
2.
2.1.A 62 year, male patient admitted to surgical ward with the history of bleeding per rectum.
He was diagnosed to have carcinoma of rectum
2.1.1. What are the useful investigations in the diagnosis and treatment
of this patient (20 marks)
2.1.2. How will you prepare this patient for abdomino-perinealresection
and permanent colostomy (30 marks)
2.2.
2.2.1. Describe the post-operative management of haemorrhoidectomy (30 marks)
2.2.2. List the painful perineal conditions (20 marks)
PART C
3.
3.1.List 5 risk factors predisposing for developing of peptic ulcer disease. (15 marks)
3.2.List 5 causes for chronic liver cell disease (CLCD). (15 marks)
3.3.How will you advise the patient presenting with Gastro Oesophageal
Reflux Disease (GORD) in view of life style modifications. (20 marks)
3.4.List 5 useful investigations in patient presenting with upper GI bleeding. (10 marks)
3.5.How do you prepare a patient for upper GI endoscopy? ( 20 marks)
3.6. What are the complications of upper GI endoscopy? (20 marks)
4. A 18 year, A/L student from Kurunagar presented with 4 days history of fever
headache and right hypo chondrial pain. He was diagnosed to have Dengue fever.
4.1.List 2 abnormalities in the full blood count that support the diagnosis
of dengue fever. (10 marks)
4.2.List 4 impoftant clinical parameters in monitoring Dengue fever patients
during hase (20 marks)
4.3. What abnormalities in, the above parameters will alarm you to inform
the doctor (10 marks)
4.4.What advice will you give regarding fluid management on the above patient (20 marks)
4.5.What is/are the intravenous fluid of choice if the patient cannot take orally (10 marks)
4.6.What are the 3 phases of dengue haemorrhagic fever? (15 marks)
prevent
(ye
4.7.What precautions you would take to
y
spread tile infection while patient
is in the ward? (15 marks)
5. A 55 year, male with ischaemic heart disease, Type 2 diabetes presented with exertional
tiredness of 5 days duration. He was diagnosed to have poor left ventricular function
5.1.List 5 symptoms or sign of heart failure (10 marks)
5.2.List 4 common causes for heart failure (20 marks)
5.3.List 4 important investigations in the evaluation of heart failure (20 marks)
5.4.What are the clinical parameters and bed side tests you will monitor in
the above patient (15 marks)
2
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UNIVERSITY OF JAFFNA, SRI LANKA
BACHELOR OF SCIENCE IN NURSING
SECOND YEAR SECOND SEMESTER EXAMINATION ? AUG 2016
NURAH 2225 PRINCIPLES AND PRACTICE IN ADULT HEALTH
NURSING I - PAPER II
Date: 11.08.2016 Time: 02 Hours
ANSWER ALL SIX QUESTIONS
Answer the part A,B &C in separate booklets
PART A
1. A 72 year, lady has undergone anterior resection for rectal cancer. On post-operative day six
she developed deep vein thrombosis in left leg.
1.1.Enumerate the clinical features of the deep vein thrombosis. (20 marks)
1.2. What are risk factors you could identify for deep vein thrombosis
in this lady? (15 marks)
1.3.How would you confirm the diagnosis of deep vein thrombosis? (10 marks)
1.4.Discuss the treatment of deep vein thrombosis in brief. (30 marks)
1.5.How could the deep vein thrombosis be prevented in this lady? (25 marks)
PART B
2.
2.1.A 62 year, male patient admitted to surgical ward with the history of bleeding per rectum.
He was diagnosed to have carcinoma of rectum
2.1.1. What are the useful investigations in the diagnosis and treatment
of this patient (20 marks)
2.1.2. How will you prepare this patient for abdomino-perinealresection
and permanent colostomy (30 marks)
2.2.
2.2.1. Describe the post-operative management of haemorrhoidectomy (30 marks)
2.2.2. List the painful perineal conditions (20 marks)
PART C
3.
3.1.List 5 risk factors predisposing for developing of peptic ulcer disease. (15 marks)
3.2.List 5 causes for chronic liver cell disease (CLCD). (15 marks)
3.3.How will you advise the patient presenting with Gastro Oesophageal
Reflux Disease (GORD) in view of life style modifications. (20 marks)
3.4.List 5 useful investigations in patient presenting with upper GI bleeding. (10 marks)
3.5.How do you prepare a patient for upper GI endoscopy? ( 20 marks)
3.6. What are the complications of upper GI endoscopy? (20 marks)
4. A 18 year, A/L student from Kurunagar presented with 4 days history of fever
headache and right hypo chondrial pain. He was diagnosed to have Dengue fever.
4.1.List 2 abnormalities in the full blood count that support the diagnosis
of dengue fever. (10 marks)
4.2.List 4 impoftant clinical parameters in monitoring Dengue fever patients
during hase (20 marks)
4.3. What abnormalities in, the above parameters will alarm you to inform
the doctor (10 marks)
4.4.What advice will you give regarding fluid management on the above patient (20 marks)
4.5.What is/are the intravenous fluid of choice if the patient cannot take orally (10 marks)
4.6.What are the 3 phases of dengue haemorrhagic fever? (15 marks)
prevent
(ye
4.7.What precautions you would take to
y
spread tile infection while patient
is in the ward? (15 marks)
5. A 55 year, male with ischaemic heart disease, Type 2 diabetes presented with exertional
tiredness of 5 days duration. He was diagnosed to have poor left ventricular function
5.1.List 5 symptoms or sign of heart failure (10 marks)
5.2.List 4 common causes for heart failure (20 marks)
5.3.List 4 important investigations in the evaluation of heart failure (20 marks)
5.4.What are the clinical parameters and bed side tests you will monitor in
the above patient (15 marks)
2
5.5.Name 2 drugs from different groups used in the management of heart failure
and mention one common side effect for each drug. (20 marks)
5.6.List three conditions that can worse the shortness of breath in a patient
with chronic heart failure. (15 marks)
6. 65 year, patient with alcoholic liver disease presented with 2 days history of abdominal
distention and worsening drowsiness. On admission to hospital he had a fever spike of 102 C,
drowsy, dyspnoic, and icteric. Hepatic flaps and bilateral leg pitting oedema noted.
Abdominal examination was revealed tense ascites.
6.1.Give possible 3 causes for the acute presentation (15 marks)
6.2.Name 5 important clinical parameters that should be monitored
in this patient (20 marks)
6.3.Name 5 important blood investigation that should be done in
acute setting of this patient (20 marks)
6.4. What is meant by abdominal paracentesis (2 sentences) (20 marks)
6.5.How do you prepare this patient for abdominal paracentesis.(5 steps) (25 marks)
3
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This post was last modified on 08 December 2019