B.Sc-B.Sc Nursing 3rd Year Medical Surgical Nursing (Adult Including Geriatrics - II) (Kerala University of Health Sciences-2014)

Q.P. CODE: 301010                                    Reg. No: …………………...
             Third Year B.Sc Nursing Degree Examinations, October 2014

             Medical Surgical Nursing (Adult Including Geriatrics - II)

Time: 3 Hrs                                                                  Max. Marks: 75

• Answer all questions

• Draw diagram wherever necessary

 

Essays (2×15=30)

1. Sreenivas, a 65 years elderly male is admitted to the CCU with bradycardia and an attack of syncope. He is posted for a permanent pacemaker implantation.

Answer the following:

• Differentiate between fixed rate pacing and demand pacing

• Describe the discharge instructions for a patient with permanent pacemaker implantation

• Enumerate the complications of permanent pacemaker implantation (4+7+4=15)

 

2. Describe the early signs of cancer and describe the modalities of cancer treatment. (5+10=15)

 

Short Notes (5x5=25)

3. Principles of critical care nursing

4. Ethical principles in nursing research

5. Concepts of triage and role of triage nurse

6. Increased intra cranial pressure

7. Cardiac rehabilitation

 

Give reasons for the following (5x2=10)

8. Patients are placed on immuno suppressants after organ transplantation.

9. Blood glucose levels to be monitored for patients on steroid therapy

10. Adequate dental hygiene is essential for clients on phenytoin(Dilantin)

11. Fruits and fruit juices are restricted in patients with renal failure

12. Mannitol in administered in patients after intra cranial surgery

 

Differentiate between (5x2=10)

13. Brachytherapy and teletherapy

14. Benign and malignant tumours

15. Defibrillation and cardio version

16. Curlings ulcer and cushings ulcer

17. Autograft and allograft

 

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Earning:  ₹ 7.25/-