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B.Sc. (Nursing) Degree Examination
Fourth semester
(Revised/Modified Regulations)
Paper I - Principles and Practice of Adult Nursing/Medical Surgical Nursing

        Section A

1. Ram, 50 yrs is admitted in ICU with acute left ventricular failure.
(a) Enumerate the clinical features of the above condition.        (5)
(b) Using the nursing process draw out a nursing care plan for this patient.        (10)

2. Write short nores on any three:                (3 x 5 = 15)

a       Abdominal paracentesis
b)        Anapphylactic shock
c)        Health education to a diabetic client
d)        Type B Hepatitis.


Section B

       Venu is admitted with acute appendicitis for emergency surgery:


a)        What are the clinical features of acute appendicitis?        (4)
b)        What is the immediate Preoperative Management?        (5)
c)        Draw out a nursing care plan for the first 48 hors post-operative period.        (6)

Write short notes on any two:                                (2 x 5 = 10)

a)        Nursing care after haemorrhoidectomy.
b)        Meal planning for the client with liver cirrhosis.
c)        Care of the client with POP case of the lower extremity.
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