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

Third Year B.Sc Nursing Degree Examinations

October 2014
Medical Surgical Nursing (Adult Including Geriatrics - II)

Time: 3 Hrs                                                                                                                                             Max. Marks: 75

Answer all questions
Draw diagram wherever necessary

Essays (215=30)
1. Sreenivas, a 65 years elderly male is admitted to the CCU with bradycardia and an attack of syncope. He is posted for a permanent pacemaker implantation. Answer the following:
Differentiate between fixed rate pacing and demand pacing
Describe the discharge instructions for a patient with permanent pacemaker implantation
Enumerate the complications of permanent pacemaker implantation (4+7+4=15)
2. Describe the early signs of cancer and describe the modalities of cancer treatment. (5+10=15)

Short Notes (5x5=25)
3. Principles of critical care nursing
4. Ethical principles in nursing research
5. Concepts of triage and role of triage nurse
6. Increased intra cranial pressure
7. Cardiac rehabilitation

Give reasons for the following (5x2=10)
8. Patients are placed on immuno suppressants after organ transplantation.
9. Blood glucose levels to be monitored for patients on steroid therapy
10.Adequate dental hygiene is essential for clients on phenytoin(Dilantin)
11. Fruits and fruit juices are restricted in patients with renal failure
12.Mannitol in administered in patients after intra cranial surgery

Differentiate between (5x2=10)
13. Brachytherapy and teletherapy
14. Benign and malignant tumours
15. Defibrillation and cardio version
16. Curlings ulcer and cushings ulcer
17. Autograft and allograft



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