%15 - 201..

")8- 1­ 542

Rajiv Gandhi University of I Iealth Sciences

Second Year M.Sc. (Nursing) Degree Examination - April 2008
[Time: 3 Hours] [Max. Marks: 80]

MEDICAL SURGICAL NURSING II

UROLOGY & RENAL NURSING

(Revised Scheme 2)

Q.P. CODE: 9615

Your answers should be specific to the questions asked.

RY
Draw neat labeled diagrams wherever necessary. Answer all qUe5:ions

LONG ESSAY 4 X 15 =60 Marks

RA
1. Mr. Kumar aged 48, a known chronic renal failure patient is admitted ir. your unit fo,~ renal
transplantation. Answer the following based on above scenario
a) Detail the pathophysioiogy of chronic renal failure

LIB
b) List the complications of chronic renal failure and give reasons for the same
c) Formulate five priority nursing diagnosis and write relevant nurs\:"'!9 interventions for
Mr.Kumar in the preoperative period
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2. Hr. Ahmed aged 52, a chronic smoker, is admitted with cancer of bladder for surgery
a) Illustrate the clinical staging of carcinoma of the bladder
IN

b) Explain on urinary diversions

c) Chemoth>erapy drugs used in bladder cancer
d) Discuss the post operative nursing care including the rehabilitatiVe measures for
RS

Mr. Ahmed
3. a) Define Glomerulonephritis and enumerate the etiology arc risk factors of
glomerulonephritis
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b) Explain the pathophysiology and clinical manifestations of glomerub,ephritis

c) Write the nursing management with an emphasis on patient educat·:'1 and home care
4. Mr. Rakesh aged 53 years is admitted in the renal unit with the diagnos:s of end stag.e renal
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disease, on maintenance hemodiatysis

a) What are the indications of hemodiatysis?
b) Ust the principles used in hemodilysis. Give explanation
c) Ust the vascular access that can be used in hemodialysis and de!:::" on nurse's role to
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maintain each
d) Mention the complications that could occur during hemodialyss and write nursing
management for the sa me

SHORT ESSAY 2 X 10 =20 Marks

5. Renal biopsy and nurses' responsibilities during pre, intra and post proced:..n:

6. Management of a patient with neurogenic bladder

*x***
Lmr..:..nv ,
Ng AK College of N~ritl1i1
HA.~AN'
 St514 _2008 _1_ S41

Uni\~ersity of Health Sciences

Rajiv Gandhi
Second Year M.Sc. (Nursing) Degree Examination - April 2008
[Time: 3 Hours] [Max. M.arks: 80]

MEDICAL SURGICAL NURSING II

CORONARY NURSING & CARDIOTHORACIC NURSING

(Revised Scheme 2)

Q.P. CODE: 9614

RY
Your answers should be specific to the Questions asked.

Draw neat labeled diagrams 'wherever necessary. Answer all questions

LONG ESSAY 4 X 15 = 60 Marks

RA
1. 55 year's old man is admitte'd with the complaints of Compressive and sharp pain radi.ating to
Jaw and left arm, he looks anxious, pl;lse is fast, the BP shows a downward trend. Answer the

LIB
following questions:
a) State the possible Diagnosis
b) Analyse the medical intervention and give your rationale and the nursing implications
c) How will you meet the rehabilitation need of this patient?
G
2. Explain the clinical characteristics and ECG patterns of normal sinus rhythm.. common
arrhythmias and arute coronary syndrome
IN

3. Ust down the causes, signs and symptoms, diagnostic tests, medical and nursing management
of pulmonary embolism
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4. Explain the post operative nursing care of a patient undergoing Valvular replacement surgery
for Aortic stenosis
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SHORT ESSAY 2 X 10 = 20 Marks

5. Explain the role ofthe nurs.e in Cardia,c Rehabilitation after Open heart surgery
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6. Outline a self instructive module for the modification of Coronary risk factors
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LIBRARY
N D R K College of Nursing

HASSAN.

 Rajiv Gand11i University of Health Sciences

Final Year M.Sc. (Nursing) Degree Examination April/May 2007

[Time: 3 Hours] [Max. Marks: 80]
MEDICAL SURGICAL NURSING-II - CORONARY

QP Code: 8415
Your answers should be specific to the questions asked.

Draw neat labeled diagrams wherever necessary.

ANSWER THE FOLLOWING =

4 X 15 60 Marks

RY
1. Mr. V 30 years factory worker is admitted with the diagnosis of carcinoma of the left lung. He was
posted for pneumonectomy.

a) What are the possible investigations done to diagnose bronchogenic carcinoma?

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b) Enumerate the clinical manifestations

c) Discuss the post operative nursing care of Mr. V using nursing process approach
2. Mr. S 40 years executive is admitted to coronary care unit with the diagnosis of myocardial

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infarction.

a) Enumerate the pathophysiology of myocardial infarction

b) Discuss the immediate nursing care of Mr. S for the first 48 hours

c) Write the health education you would give for Mr. S before discharge

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3. a) Describe mechanical ventilation

b) List the various types of ventilators available

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c) Discuss the nursing care of a patient on ventilator

4. Mrs. S 45 years, having 3 children is admitted with the diagnosis of aortic regurgitation. She was
RS

advised to undergo aortic valve replacement

a) Explain the etiology of valvular heart disease
b) Discuss the pre and post operative nursing management of Mrs. S including rehabilitation
and follow up care
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WRITE SHORT NOTES ON ANY TWO 2 X 10 = 20 Marks

5. Cardio version
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6. Electrocardiogram
7. Cardiopulmonary bypass
8. Drugs used in cardiac arrhythmias
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*****
 8416_2007_C512

Rajiv Gatldlli UrIiversity of Health Sciences

Final Year M.Sc. (Nursing) Degree Examination - April/May 2007

[Time: 3 Hours] [Max. lV1arks: 80]
NURSING SPECIALITY - II

MEDICAL SURGICAL NURSING - II

ORTHOPAEDIC REHABILITATION NURSING

QP Code: 8416
Your answers should be specific to the questions asked.

Draw neat labeled diagrams wherever necessary.

RY
ANSWER THE FOLLOWING 4 X 15 = 60 Marks
1. Mrs. '5' 48 years old has been admitted with the diagnosis of rheumatoid arthritis

RA
a) Write the pathophysiology of rheumatoid arthritis in relation to clinical manifestations

b) Discuss the nursing management including health education

2. Mr. 'R' 38 years old is admitted in your ward with diagnosis of quadriplegia after a fall

LIB
a) Describe the nursing assessment to be made for Mr. 'R'

b) Explain the nursing management including rehabilitation of the patient

3. Discuss osteoporosis in terms of the following

a) Causes and risk factors

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b) Pathological basis of clinical manifestations

c) Preventive aspects

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4. Describe various orthopaedic appliances used for management of orthopaedic patients

= 20 ~Jtarks
RS

WRITE SHORT NOTES ON ANY TWO 2 X 10

5. General principles of nursing care applied to orthopaedic patients
6. Care of patient WIth skeletal traction
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7. Hyper vitaminosis - D

*****
RK
ND
 8415 2006 1 503[1]
Rajiv Gandhi University of Health Sci~nces, Kamataka

FINAL YEAR M .Sc. (NURSING) DEGREE EXAMINATION

Time: 3 Hours [Max. Marks: 80]

MEDICAL SURGICAL NURSING II - CORONARY

QP Code: 8415
Your answers should be specific to the questions asked.

Draw neat labeled diagrams wherever necessary.

Answer the following

RY
L IlIlr. Rqju, 50 years old clerk, presented with history of unstable angina for the oast one
year. He is a known hypertensive and chronic smoker. His angiogram showed triple
vessel disease with poor left ventricular function requiring a coronary artery by pass
graft

RA
a. Define coronary artery by pass graft
b. Explain the pathophysiological basis of the following clinical manifestations
i) Triple vessel disease

LIB
ii) Unstable angina
c. Answer the following
i) Risk factors of coronary artery disease
ii) Transluminal coronary angioplasty
G
iii) List the possible complications of coronary artery by pass graft
iv) Types of surgical procedures done for coronary artery revascularization
IN

(1 + 4 + 10 :: 15 marks)

2. a. Write the pathophysiology of pulmonary edema

RS

b. List the clinical manifestations of pulmonary edema

c. Describe the nursing measures for patient with pulmonary edema
(3 + 2 + 10 = 15 marks)
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3. Answer the following: ­

a. Thrombo embolytic therapy
b. Haemodynamic monitoring
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c. Arterial blood gas studies

(3 x 5 ::::: 15 marks)

4. Describe pulmonary tuberculosis in terms of the following

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a. Transmission and risk factors

b. Pathophysiological basis of the clinical manifestations
c. Nursing intervention
(2 + 6 + 7 :: 15 marks)

Write Short notes on any two 2 X 10 :: 20 Marks

5. Post resuscitation care
6. . Fluid and electrolyte balance in cardiac patient
7. . Cardiac pacemaker
8. Chest drainage

*** * *
 Rajiv Gandhi University of Health Sciences, Karnataka

FINAL YEAR M.Sc. (NURSING) DEGREE EXAMINATION

Time: 3 Hours [Max. Marks: 80]

NURSING SPECIALITY - II - MEDICAL SURGICAL NURSING - II

ORTHOPAEDIC REHABILITATION NURSING
QP Code: 8416
Your answers should be specific to the questions asked.

Draw neat labeled diagrams wherever necessary.

RY
Answer the following
1. Mr. R, 60 years old vendor, has been admitted with the diagnosis of

RA
fracture of femur.
a. Write the pathophysiology of fracture and its clinical
manifestations

LIB
b. Discuss the nursing management including rehabilitation
(7 + 8 = 15 marks)

2. Discuss myasthenia gravis in terms of the following: ­

G
a. Diagnostic tests done to rule out this condition
b. Pathological basis of clinical manifestations
IN

c. Nursing Management
(2 + 4 + 9 = 15 marks)
RS

3. Mr. 5, is admitted in your ward with the diagnosis of multiple

myeloma,
NU

a. Write the clinical manifestations of multiple m yeloma

b. Discuss the treatment modalities and the nursing management
(3 + 12 = 15 marks)
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4. Describe the activities of daily living and range of motion exercises of

orthopedic patients.
(15 marks)
ND

Write Short notes on any two 2 X 10 = 20 Marks

5. Role of the nurse in caring for a patient with splints and braces
6. Nursing assessment of orthopedic patients
7. Anterior poliomyelitis

*****
 RC-8415

. '

SECOND YEAR M.Sc. '(NURSING) DEGREE EXAMINATION', 2004

, Nursing Speciality ,

Paper II-MEDICAL SURGICAL NURSIN%~!~~~?\ .

Time: Three H o u r s , " ~~/' MaXi~ : 80 Marks
I. Answer all questions: . ,\\~. \, " , ,ii '
1 Mr. Satish, a 62 years old business executive, is admitted to the ~f~~at:}"-~a!e ur:~tfoth a definite
diagnosis of anterior wall myocardial infarction and third degree a1ri4iehm~tU~i;block.
"'_.......
,
His pulse

RY
rate is 30 per minute and the repidly falling blood pressure is 90/46 minHg. He looks pale, is in
obvious shock and has occasional convulSIons.

(a) Define third-degree heart block. Draw an example of ECG pattern. (1 mark)

RA
(b) Explain the pathophysiological basis of the following clinical manifestations :­
(i) Convulsions

LIB
(ii) ,Bradycardia.

(2 + 2 = 4 marks)
G
(c) Describe the ECG of Mr. Satish in terms of the following :­
(i) Conduction.
IN

(ii) Configuration and, Location.

RS

. (iii) Causes.

(iv) Clinical significance.

NU

, (4 x 21h. ;: : 10 marks)

2 (a) Explain the indications for implanting a permanent pacemaker. (3 marks)

(b) List four possible problems of patient with permanent pacemaker. (2 marks).
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(c) Describe the nursing measures for patients with per~anent pacemaker.
(10 marks)

3 Describe any three life-saving devices on the following aspects :­

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(a) Indications. (b) Working principles.

(c) Observations of patient's prognosis.

(3 x 5 = 15 marks)

Turn over

1l
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 YJ-2442·

SECOND YEAR M.Sc. (NURSING)

DEGREE EXAMINATION, 2003

Paper II-NURSING SPECIALITY MEDICAL

.SURGICAL NURSING-II

(CORONARY AND CARDIOTHORACIC NURSING)

Time : Three Hours Maximum: SOlMarks
I. . Answer all questions :
~ Define Angina. List the causes and signs and
symptoms. What are the specific investigation

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suggested for this. Discuss medical and nursing
management of this client. .
. 2/ Define mitral stenosis. List the causes. Write the

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\./' sigm and symptoms. Name the surgical (
intervension for it. How do you plan the follow /
0'
up care? Ceil
.~ Enumerate nurses responsibility with the

LIB
following :­
(a) Pulmonary function test.
(b) Haemodynamic moni toring. .
G
~DiscusS the immediate post operative care of a
client after o,I?en heart surgcq. Select one of the
IN

theory as conceptual frame work.

(4 x 15 60 marks)

RS

II. Write short notes on any two :

1.1 Primary prevention of CAD.
~ Nurses role in prevention of nosoconical infection
NU

in'ICU.

.3 Lung biopy.

4 Equipment and supplies in CCu.

(2 x 10 = 20 marks)
RK
ND

,.
I·
 ,"VU" "V. UJ ~ US ...1 • I.}" LOne l~(). I ,J-.t:. ,'-.,-/\

2 i,d '1M; Sc.: (NURSING) DEGnER EXAl\] INATION, 200;)

• • 0' • • "

lviih)I'CAL'SURGJCALNUltSlNG ~ IIlltSI
COHONAityl~~'CAltl)i()+1I0nACIC NtlHSIN(;
'll., , \\,," "'~ ,I \ I ' " \
., \' ,/vIllA. Marks: ,pO
(TIH'or),)

1lllle : 3 lJOIV~J, , . . ',.. .'

'"iI '\0 rnlll'j/j'd :',ld'~I"fll! III: IH.d "l' J,:'(lf" I, ' .' II ' " i "
f 'I '

" ".:: <h1?+~}j~~:fi1~'~!~r~HfJW~'J!.1' 01 /I""~I:'J .;, 'II i ." : ': .,,, "
; :: ,,;,;::', ,n~t~o iY:(}:Ek~~~ili,,)hl~ '(dllO~i~~'i~i~'f"~i~ii~li' to ~~rdiac aiTvthmia:' [2+5+8= 15] I
!"i:',~.rr·'" ~"" :";"\ \ .d ;,,·,'iI,'/! '".noTIHl.JJj,fIlJIIII .,' ,:l'll,lr l
"

• \ -, ~ t

, , i): ~numernte the etiology " t" .- t \'

H), ,Pathophysiology \'~l:'" I I , ; , ! ! , "', "I:,

. i '/ II.
'i
i
,
~\
•
.1"~.l"1,t,
"l '.
,.,,1 t
t·: '
! I

RY
" f ;

: 'J
.[.);'11.'1
iii) ~lectric!11
L ::.JII',)1~11.~I.1 management '
"'~('II1' 4~'\lJ' , "
, 'I, " (

'" ' [( ~:::2j +lAri~~~~ the following in relation to ECG tracing: [5+ lO= 15]

RA
, ':J~";'["~J'/o(f/\··.)!l"\'r:·)b(w bl'l! 1'':;/1'"'' ',I" I i
,j
, ! I; , I ,
• f ~ t I JI

ri'?'{ ')JI .~')firr!!i'EnumerQteithe!indications for 12-lead ECG.i j ' I " " : \rl':"";
. f: :"Qf'\f1tl f ","li 11',.,t+" .,.',,,,_ ' .• 'l • 111 •• , ',Of .. I
, U) 'll1ustr.b!e and explain Q'12-lead ECG ' '. '

LIB
,',
, j'
" , ,rfll:rH:3)'I,H i)' ~i:: Enumcratcithc'risk'fuctors'of I'hcumntic fcver. 13+ 12~ 15 J
, t.# f • ••••• t ••. I; .",;. \, , .

l C'~ I,~~\)+,lJ I H) : HKpluiil the clrcct uf rhJ,:u11 mt ic f'c vcr 011

! ,.id"l}lcrid~l~ldi'Ulll':"II.l "
III VlH,::aU 1i lilli, CIH,lol'Hnl i ti III
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I,,' '. ,",f. '. 'I'" i ,I

',)Jq~I'"M?/I:rI!,;:I',{'II'~tI'J:f,I"!'~~'!' ,~,,;
IN
I ' ,I

. ~1)::.i~14)~IIl:Describc.~ lhe~c~rdio;vusc~larasscssll1enl for Congeslive Hearl Failure .

.::..'::,,',:..; ;. ' .. ;,d ' " ,[15]
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!::I '111: I:
. , " ' " r " '

: I, " I I'

, . ' bIll: nilft~)fl/; .fiil:' r ;r • rl ;>',11 t.) .' j -vi ;.. i!, ; , :~

, T ' :~.' :,;;i,?' 11.:, Write sh9r~

' I I \
notes 'on any ~ of the fulluwing:.
j' , '
' I,ll' ,I "I'" : ,1,1 l201
NU

,b:;~jJil';hq ~")lIrlll" ,-m.d ~HI' ", ill"r;l~ ,1/ . "

, I

," l (~ 1:~? ~ () I Complications of Thoracic surgery, ,I

I'

6)' Chest drainage ,. I , ' . ,. , ~ t I ,.' ,; ( ,

RK

7) Card inc pa<.:c-nmker

, I ,I
, "
ND

! , "1 I r.'

, • I I'

" ';
" -. , "I " I ;

,I ••

I" :;
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 RK-2127-A
SECOND .·YEAR M.S(;.·· (NlJr§!~y):jQE(;REE ·EXAMINATION,· 2002
. - . -,'}. ~

NllfS~ ~~ality0 II
MEDICAL SUR,GIC~LNYRSING- II

Paper VII-CORONARY N~S~NG AND;CARDIOTHORACIC NURSING

1
Time: 'Three Hours· Maximum : 80 Marks

Answer all· questions.

1. Mrs .. Retnaml 40-years is admit:tE;d~~thl:()njestj\1e cardiac failure:

(a) Explain the pathophysiology and clinical manifestations of c.c.P.
(b) Explain with rationale the Nursing Management based on the Nursing Dignosis.

RY
(7 + 8 = 15 marks)
2. (a) How will you classify ArrhythnUas ?

RA
(b) Explain the role of the nurse in preventing and managing Cardiac Arrhythmias.
(5 + 10 =15 marks)

LIB
3. Mr. Raj, 55-years is admitted for Coronary Artery bypass graft :
(a) How will you prepare thepatient<for surgery ?
(b) Prepare the n~sin£CMe·-ptari for 'the first 48 hours.
G
(7 + 8 = 15 marks)
. . . . ,:

(a) What are the indications. for mechani!::al ventilation ?

IN

4.
(b) Explain the nursing management of·a patient undergoing mechanical ventilation.
RS

~ (5 + 10 = 15 marks)

5. Write short notes on any two :

NU

(a) Cardiopulmonary resuscitation.

(b) Pulmonary embolism.
(c) COPD.
K

. (2 x 10 = 20 marks)
R
ND

I
t
 RK-1781
SECOND YEAR M.Sc. (NURSING) DEGREE EXAMINATION, 2001

Nursing Speciauty--n

MEDICAL SURGICAL NURSING-II

. • ·,1
Time ; Three Hours Maximum: 80 Marks
I. Answer all questions;
1 Patient may enter the health care facUity a few days before cardiac surgery. Discuss the. nursing
/ management of a patient before and after coronary artery by~pass graft surgery using nursing
process.

RY
2 A 50-year driver having three school~going children is admitted with severe symptoms of
bronchiectasis. Explain the etiological factors involved and the pathophysiological changes that
/occur. Discuss the nursing care of a patient with bronchiectasis. Using nursing process approach.
1

RA
3 A qp-ycar farmer is admitted w.ith complete heart block. His wife is an illitemte and having two
sons who are employed.

Enumerate the clinical manifestations of complete heart block. Discuss the treatment modalities.

Identify his needs/problems and explain the nursing interventions.

LIB
4 Mr. Rajan 45 years is admitted in your ward with the diagnosis of chronic obstructive pulmonary
/disease. What are the disorders involved in COPD. Write the clinical manifestations of COPO ?
J" Discuss the medical and nursing manage~I)t of COPD.
G
(4 x 15 = 60 marks)
·~·,·)·tt\
. , •• w
II. Write short notes on any two:
IN

1 Nursing care of patient with Empyema. , .'

,
""
.
....
RS

A Pulmonary function test.

3 Role of the nurse in coronary care unit.
4 Drugs used in hypertension.
NU

(2 x 10 =20 marks)
RK
ND
 , i

SECOND YEAR M.Sc. (NURSING) DEGREE EXAMINATION, 2000

Pnper VlI-Nul'sing Speciality ll-Medical Surgical Nursing-II
CORONARY NURSING AND CARDIO THORACIC NURSING
- Tinw: Thrc(' lIol.lrR Maximum: 80 Marks
Answer all questions.
How will you recognize early signs and symptoms of complications that can occur after
Myocardial infarction? ,­
(b) Discuss the nursing interventions needed for p'atients with closed corrurussurotomy.
(8 + 7 =15 marks)

RY
2. (a) Explain tbe role of a nurse while mal<ing diagnostic m,Sl'SSliH'!ll of rCllpiralOl'Y functions.
(b) Discuss the causative factors, p"thophysiology and nnrsing interventions for bronchial
asthma.
(8 + 7 =15 marks)

RA
3. (a) Explain the pal:hophysiology, diagnostic evaluation and medical management for pulmonary
tuberculosis.
(b) Install a nursing care plan, for a patient with pulmonary tuberculosis.

LIB
(8 + 7 =15 marks)
4. (a) How will you meet the challenges during immediate post-operative period for the patient
who has undc·rgone major cardiac surgery ?
G
(b) Write on the phases of cardiac rehabilitation.
(10 + 5 =15 marks)
IN

5. Write short notes on any two of the following :­

RS

I' (a) Cardiac catheterization.

(0) Organization and design of coronary care unit.
(c) Respiratory therapy.
NU

(2 X 10 == 20 marks)
RK
ND
 FINAL M.Sc NURSING EXAMINATION
DECEMBER - 1998
DR. M. V. ~·:i·-:T fV M;:M:JR)~
NURSING SPECIALITY - II LtS-~ . ;',' L H. S.·
(MEDICAL.SURGICAL NURSING) M M. I . ~ ;;... LOR E

Timc:-3-00 Hours Max.Marks:80

SECTION -A NEUROLOGICAL & NEUROSURGICAL NURSING

40 MARKS

I Write the Classification of Brain tumours. \Vrite Pre and Post 15 Marks
Operative care of a patient with brain tumour.

RY
If Enumerate the causes of C. V.A. Discuss pathophysiology. Write nursing 15 Marks
care plan based on nursing diagnosis for a client with C.V.A

RA
III Write short notes on anyone: 10 Marks
1. Nursing management of a client with convulsions

LIB
2. Nurses role in cerebral angiography.

SECTION - B : CARDIOLOGY & CARDIa-THORACIC NURSING 40 Marks

G
1. Explain pathophysiology and clinical manifestations of angina pectoris. 10 Marks
IN

2. Write nursing care plan based on nursing diagnosis for the above 05 Marks
RS

client.

II 1. Write the indications of lobectomy. IS Marb

or a client with lobectolllY
NU

2. Write the Pre ano Post operative carc

III Write notes on anyone: 10 Marks

RK

1. Pulmonary function tests.

2.Write nurses role in recording, Observation and Interpretation ofECG.

ND

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