Tamil Nadu Dr MGR Medical University 2009 B.Sc Nursing IV/I – PRINCIPLES AND PRACTICE OF ADULT /MEDICAL SURGICAL Q.PCode : 664736 - - exam paper

FEBRUARY – 2009
[KU 809] Sub. Code: 4736
B.Sc (Nursing ) DEGREE exam
(Revised/Modified Regulations)
Second Year /Fourth Semester
Paper IV/I – PRINCIPLES AND PRACTICE OF ADULT
NURSING/MEDICAL SURGICAL NURSING
Q.P. Code : 664736
Time : 3 hours Maximum : 75 marks
ans All ques..
I. Essays: (2X15=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 ascites
and complains of breathlessness.
ans the following:
a) describe 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)
d) Write the health advices that you would provide him (4)
II. Ramu, aged 32 years, is admitted to the surgical intensive care unit with the
diagnosis of intestinal obstruction, for emergency surgery.
ans the following:
a) Enlist the causes of intestinal obstruction. (5)
b) Write the clinical manifestations of the identical (4)
c) Applying the nursing process, write the preoperative nursing care for
Ramu (6)
II. Write Short Notes on : (5X five = 25)
1. Diet in diabetes mellitus
2. Diuretics
3. Assessment of a patient with anaemia
4. Myxoedema
5. Osteomyelitis. .
III. Short ans Questions: (10X two = 20)
1. describe perioperative period.
2. List any 4 complications occurring in immediate post operative period.
3. Name any 4 acyanotic heart diseases.
4. List out any 4 modifiable risk factors of coronary Artery Disease.
5. List 4 clinical features of diabetes Mellitus.
6. Enumerate any 2 delayed complications of burns.
7. List 4 criteria essential to begin fluids subsequent major abdominal surgery.
8. List 4 immunocompromised conditions.
9. List 2 preparatory procedures for upper GI scopy.
10. describe intermittent claudication.

Earning:   Approval pending.