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Q.P. CODE: 301010                                                                                                                                                   Reg. No: …

Third Year B.Sc Nursing Degree Examinations,

Medical Surgical Nursing (Adult Including Geriatrics - II)
October 2015


Time: 3 Hrs                                                                                                                                                                Max. Marks: 75

Answer all questions
Draw diagram wherever necessary

Essays (2×15=30)
1. Enumerate the causes and types of disaster. Explain disaster preparedness.                                                                         (7+8=15)
2. Mr Anil a chronic smoker was admitted to the oncology unit with hoarseness of voice anddiagnosed of Ca larynx.
Mention the aetiology of Ca larynx. List the clinical manifestations of Ca larynx. Elaborate thenurses role in the post operative management of Mr. Anil after the laryngectomy with Radical Neck Dissection                                                                                             (3+2+10=15)

Short Notes (5x5=25)
3. Pulmonary oedema
4. Cardiopulmonary resuscitation
5. Role of the nurse in the care of the elderly
6. Health education to a patient with permanent pacemaker implantation
7. Skin grafting

Give reasons for the following (5x2=10)
8. Intravenous manitol is administered for a patient with head injury
9. Monitoring chest tube drainage is important after cardiac surgery
10. Valsalva maneuver should be discouraged in patients with myocardial infarction
11. Protein restriction is advised in patients with renal failure
12. 100% oxygen is administered prior to suctioning of endotracheal tube

Differentiate between (5x2=10)
13. C-PAP and PEEP
14. Contusion and concussion
15. Continuous ambulatory peritoneal dialysis and continuous cyclic peritoneal dialysis
16. Haemothorax and pneumothorax
17. Orthotopic and heterotopic heart transplantation



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