February 2010
[KW 809] Sub. Code: 4736
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B.Sc (Nursing ) DEGREE EXAMINATION
(Revised/Modified Regulations)
Second Year /Fourth Semester
Paper IV/I ? PRINCIPLES AND PRACTICE OF ADULT
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NURSING/MEDICAL SURGICAL NURSINGQ.P. Code : 664736
Time : Three hours Maximum : 75 marks
Answer ALL questions.
I. Essays: (2 x 15 = 30)
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1. Mrs. Shree is admitted in a medical unit with the diagnosis of bacterialpneumonia.
a) Write the pathophysiology of bacterial pneumonia. (3)
b) Enlist the clinical manifestations of bacterial pneumonia. (2)
c) Using the nursing process, draw out a nursing care plan for Mrs. Shree.
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(10)2. Mr. Balan, a 55 year old man is admitted in a surgical unit with the
diagnosis of cancer of the colon.
a) Enlist the clinical manifestations of cancer of the colon. (5)
b) Using nursing process, draw out nursing care plan for this client. (10)
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II. Write Short Notes on : (5 x 5 = 25)1. Hemophilia.
2. Diet in cardiac failure
3. Water seal chest drainage.
4. Lumbar puncture.
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5. Thrombo angitis obliterans (T.A.O).III. Short Answer Questions: (10 x 2 = 20)
1. List down four anti neoplastic drugs.
2. Mention two sites used for bone marrow aspiration.
3. Mention two adverse effects of steroid therapy.
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4. Two side effects of radiation therapy.5. Name the cardinal signs of tetany.
6. Name two vascular symptoms in cirrhosis of liver.
7. List down two manifestations of metabolic acidosis.
8. Name two groups of broncho dilators with examples.
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9. Define gangrene and its types.10. Mention two liver function tests.
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