Download RGUHS M.Sc Nursing 2017 May 2nd Year 9647 Gastro Enterology Nursing Revised Scheme 3 Question Paper

Second Year M. Sc. (Nursing) Degree Examination - APRIL 2017

[Time: 3 Hours] [Max. Marks: 80]

GASTRO ENTEROLOGY NURSING

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(Revised Scheme 3)

Q.P. CODE: 9647

Your answers should be specific to the questions asked.

Draw neat labeled diagrams wherever necessary.

ANSWER THE FOLLOWING 4 X 15 = 60 Marks

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1. Mr. Ravi, 60 year old man is admitted with acute small intestinal obstruction.
   1. Explain the etiology and pathophysiology of small intrerstinal obstruction.
   2. Discuss the clinical manifestations and the immediate management of acute intestinal obstruction.
   3. Draw a nursing care plan for Mr. Ravi for the first 24 hours following nursing process approach. (3+5+7)
2. Explain the Intensive Gastroenterology Unit (IGEU) based on the following aspects.
   1. Design and layout

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   2. Quality assurance and patient care evaluation
   3. Infection control and standard safety measures (4+5+6)
3. Mr. X is admitted with severe gastrointestinal bleeding secondary to portal hypertension.
   1. Discuss the etiology and the pathophysiology of portal hypertension.
   2. Explain the management of bleeding oesophageal varices.

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   3. Discuss the nursing management of Mr. X. (4+4+7)
4. Mr. A is admitted with gastric cancer.
   1. Discuss the predisposing factors and the assessment findings of gastric cancer.
   2. Explain the diagnosis, medical and surgical intervention of gastric cancer.
   3. Discuss the postoperative nursing intervention and the dietary guidelines after gastric surgery.

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SHORT NOTES (Answer any TWO) 2 X 10 = 20 Marks

5. Discuss on diaphragmatic hernia.
6. Describe the drugs used in peptic ulcer.
7. Explain in detail about Liver transplantation.

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8. Discuss on Meckel's diverticulum.

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