[KU 809] Sub. Code: 4736
B.Sc (Nursing ) DEGREE EXAMINATION
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(Revised/Modified Regulations)Second Year /Fourth Semester
Paper IV/I ? PRINCIPLES AND PRACTICE OF ADULT
NURSING/MEDICAL SURGICAL NURSING
Q.P. Code : 664736
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Time : Three hours Maximum : 75 marksAnswer ALL questions.
I. Essays: (2 x 15 = 30)
I. Venkat, a 46 year old mechanic is admitted to the medical care ward with
the diagnosis of cirrhosis of liver. He is a chronic alcoholic, has marked
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ascites and complains of breathlessness. Answer the following:a) Define cirihosis of liver (1)
b) Enlist the complications of cirrhosis of the liver (4)
c) Stating the goals of care, write the specific nursing interventions for
two priority based nursing diagnosis for venkat (6)
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d) Write the health advices that you would give him (4)II. Ramu, aged 32 years, is admitted to the surgical intensive care unit with
the diagnosis of intestinal obstruction, for emergency surgery.
Answer the following:
a) Enlist the causes of intestinal obstruction. (5)
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b) Write the clinical manifestations of the same (4)c) Applying the nursing process, write the preoperative nursing care for
Ramu (6)
II. Write Short Notes on : (5 x 5 = 25)
1. Diet in diabetes mellitus
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2. Diuretics3. Assessment of a patient with anaemia
4. Myxoedema
5. Osteomyelitis. .
III. Short Answer Questions: (10 x 2 = 20)
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1. Define perioperative period.2. List any four complications occurring in immediate post operative period.
3. Name any four acyanotic heart diseases.
4. List out any four modifiable risk factors of coronary Artery Disease.
5. List four clinical features of diabetes Mellitus.
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6. Enumerate any two delayed complications of burns.7. List four criteria essential to start fluids following major abdominal
surgery.
8. List four immunocompromised conditions.
9. List two preparatory procedures for upper GI scopy.
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10. Define intermittent claudication.******