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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 - (2 x 15 = 30 marks)
Answer ALL questions

1.    Mr.Das, aged 45 years is admitted with the diagnosis of pleural effusion.
(a) Define pleural effusion                     
(b) Mention the types of pleural effusion                   
(c) List down the clinical manifestations of pleural effusion
(d) Describe the medical management           
(e) Plan a nursing care for Mr.Das applying the nursing process

2. Mrs. Geetha is diagnosed as a case of hyperthyroidism and is admitted for subtotal thyroidectomy for goitre.
a)    List down the clinical manifestations of hyperthyroidism.
b)    Explain the pre operative preparations of Mrs. Geetha for the surgery.
c)    Describe the post operative complications and its management.
d)    Plan the immediate andlate post operative nursing care for Mrs.Geetha applying nursing process.


Section B
    3.Write short notes on any SIX of the following             
a)    Anti diabetic agents                                     
b)    Preventive measures for Hepatitis B             
c)    Pathogenesis in pemphigus
d)    Health education for a patient with congestive cardiac failure
e)    Care of full thickness wound in burns
f)    Etiology of bowel obstructions
g)    Methods of fracture reduction



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