--- Content provided by FirstRanker.com ---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
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)
1.5.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.
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)
2.2.1. 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
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 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.
1.2. 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)
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
of this patient (20 marks)
2.1.2. How will you prepare this patient for abdomino-perinealresection
and permanent colostomy (30 marks)
2.2.
2.2.2. 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)
3.3.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)
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)
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)
4.6.What are the 3 phases of dengue haemorrhagic fever? (15 marks)
prevent
(ye
4.7.What precautions you would take to
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
5.2.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)
FirstRanker.com - FirstRanker's Choice
UNIVERSITY OF JAFFNA, SRI LANKA
BACHELOR OF SCIENCE IN NURSING
SECOND YEAR SECOND SEMESTER EXAMINATION ? AUG 2016
NURSING I - PAPER II
Date: 11.08.2016 Time: 02 Hours
ANSWER ALL SIX QUESTIONS
Answer the part A,B &C in separate booklets
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
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
2.1.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)
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)
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
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
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)
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)
(ye
4.7.What precautions you would take to
y
spread tile infection while patient
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)
5.4.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
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,
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)
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
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
--- Content provided by FirstRanker.com ---
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)
--- Content provided by FirstRanker.com ---
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.
--- Content provided by FirstRanker.com ---
He was diagnosed to have carcinoma of rectum2.1.1. 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)
--- Content provided by FirstRanker.com ---
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
--- Content provided by FirstRanker.com ---
BACHELOR OF SCIENCE IN NURSINGSECOND 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
--- Content provided by FirstRanker.com ---
ANSWER ALL SIX QUESTIONSAnswer 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.
--- Content provided by FirstRanker.com ---
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)
--- Content provided by FirstRanker.com ---
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
--- Content provided by FirstRanker.com ---
2.1.1. What are the useful investigations in the diagnosis and treatmentof this patient (20 marks)
2.1.2. How will you prepare this patient for abdomino-perinealresection
and permanent colostomy (30 marks)
2.2.
--- Content provided by FirstRanker.com ---
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)
--- Content provided by FirstRanker.com ---
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)
--- Content provided by FirstRanker.com ---
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)
--- Content provided by FirstRanker.com ---
4.2.List 4 impoftant clinical parameters in monitoring Dengue fever patientsduring 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)
--- Content provided by FirstRanker.com ---
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
--- Content provided by FirstRanker.com ---
yspread 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
--- Content provided by FirstRanker.com ---
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)
--- Content provided by FirstRanker.com ---
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UNIVERSITY OF JAFFNA, SRI LANKA
BACHELOR OF SCIENCE IN NURSING
SECOND YEAR SECOND SEMESTER EXAMINATION ? AUG 2016
--- Content provided by FirstRanker.com ---
NURAH 2225 PRINCIPLES AND PRACTICE IN ADULT HEALTHNURSING I - PAPER II
Date: 11.08.2016 Time: 02 Hours
ANSWER ALL SIX QUESTIONS
Answer the part A,B &C in separate booklets
--- Content provided by FirstRanker.com ---
PART A1. 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
--- Content provided by FirstRanker.com ---
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
--- Content provided by FirstRanker.com ---
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)
--- Content provided by FirstRanker.com ---
2.1.2. How will you prepare this patient for abdomino-perinealresectionand 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)
--- Content provided by FirstRanker.com ---
PART C3.
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
--- Content provided by FirstRanker.com ---
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
--- Content provided by FirstRanker.com ---
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)
--- Content provided by FirstRanker.com ---
4.3. What abnormalities in, the above parameters will alarm you to informthe 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)
--- Content provided by FirstRanker.com ---
prevent(ye
4.7.What precautions you would take to
y
spread tile infection while patient
--- Content provided by FirstRanker.com ---
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)
--- Content provided by FirstRanker.com ---
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
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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,
--- Content provided by FirstRanker.com ---
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)
--- Content provided by FirstRanker.com ---
6.3.Name 5 important blood investigation that should be done inacute 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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