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[KK 812]                                                                                                Sub. Code : 4747
B.Sc. (Nursing) DEGREE  EXAMINATION
Fifth Semester
(Revised/Modified Regulations)

Paper II - ADULT HEALTH NURSING/ MEDICAL SURGICAL NURSING (SPECIALITIES)
Time : Three hours                                                                       Maximum : 75 marks
Sec. A and Sec B : Two hours and forty five minutes     Sec. A  &  Sec  B  : 60 marks        Section C   : Fifteen minutes                                                Sec. C: 15 marks
      

Answer Sections and A and B in the SAME answer book.
Answer Section in the answer sheet provided.

SECTION A
1. Thiru Krishnan has been admitted for the treatment of congestive cardiac failure. Answer the following questions:
(a) What are the causes, clinical manifestations and patho physiology of congestive cardiac failure?
(b) Explain the nursing intervention of such patients.                                (15)

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

a)        Haemophilia.
b)        Preparation for and care during lumbar puncture.
c)        Mastitis
d)        Treatment for pulmonary tuberculosis.


Section B

3. Mrs. Veni has been admitted for the treatment of exophthalmic goitre. Answer the following questions:                                                                          (15)
a)         What are the causes, signs, smptoms and pathophysiology of exophthalmic goitre?
b)        Explain the post operative nursing care of patients undergoing subtotal thyroidectomy.

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

a)        Prevention of spread of scabies.
b)        Cervical spondylosis.
c)        Care of patients with mumps.

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