Download RGUHS M.Sc Nursing 2016 April 1st Year 9635 Medical Surgical Nursing Rs 3 And Rs 4 Question Paper

FirstRanker.com Rajiv Gandhi University of Health Sciences

First Year M.Sc. (Nursing) Degree Examination - May 2016

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

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MEDICAL SURGICAL NURSING

(RS 3 and RS 4)

Q.P. CODE: 9635

Your answers should be specific to the questions asked.

Draw neat, labeled diagrams wherever necessary.

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ANSWER THE FOLLOWING 4 X 15 = 60 Marks

1. Mr. Raju, 43 years old is suffering from peptic ulcer. (4+4+7)
   1. Differentiate between peptic ulcer and duodenal ulcer.
   2. Illustrate the pathophysiological changes that occur in peptic ulcer.
   3. Discuss the post-operative nursing care of Mr. Raju, who has undergone gastro-Jejunostomy using nursing process approach.

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2. Mrs. Renu, 40 years old is admitted to the ward with adenocarcinoma of right breast. (4+5+6)
   1. List the clinical manifestations and diagnostic measures to identify the carcinoma of breast.
   2. Discuss the treatment options and reconstructive surgical approaches available for Mrs. Renu.
   3. Plan a teaching on post mastectomy exercises.
3. Mr. Rao, 39 years old is admitted to the ward for thyroidectomy. (2+4+9)
   1. What are the indications for thyroidectomy?

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   2. Enumerate the complications of thyroidectomy.
   3. Prepare a nursing care plan for immediate post-operative care of patient.
4. Mr. Babu, 40 years is admitted with a Diabetic gangrene of the left foot, posted for amputation. (2+4+6+3)
   1. List the indications for amputation.
   2. Explain how do you prepare psychologically Mr. Babu and his family for the surgery.

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   3. Identify the five important post-operative nursing diagnosis and plan appropriate nursing interventions according to priority.
   4. Plan rehabilitation programme.

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

5. Care of patient on skeletal traction

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6. Rehabilitation of patient with colostomy
7. Nursing care of patient on blood transfusion
8. Cardiac rehabilitation

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