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Q.P. CODE: 301010                                                                                                         Reg. No:
Third Year B.Sc Nursing Degree Supplementary Examinations

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

Time: 3 Hrs                                                                                                                                                   Max. Marks: 75
Answer all questions
Draw diagram wherever necessary

Essays (215=30)
1. Differentiate between epidural haematoma and subdural haematoma. Explain the clinical manifestations of increased intra cranial pressure. Describe the measures to prevent increased intra cranial pressure in a patient after intra cranial surgery (4+3+8=15)

2. Enumerate the causes of adult respiratory distress syndrome (ARDS). Describe the pathophysiological changes. Explain the nursing management of patient with ARDS   (4+4+7=15)

Short Notes (5x5=25)
3. Types of abuse among elderly
4. Principles of disaster nursing
5. Bone marrow transplantation
6. Complications of external radiation therapy
7. Modes of ventilator

Give reasons for the following (5x2=10)
8. Potassium chloride syrup is diluted before administration
9. Warfarin is administered in patients after cardiac valve replacement
10. Patients with renal failure are advised to take high biological value proteins
11. Frequent evaluation of air entry in both lungs are important in patients on mechanical ventilator
12. Immuno suppressants are administered in patients after renal transplantation

Differentiate between (5x2=10)
13. Isografts and xenograft
14. Peripheral and central cyanosis
15. First degree heart block and second degree heart block
16. Epilepsy and seizure
17. Haemodialysis and peritoneal dialysis



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