337 B.

Sc(Nursing) DEGREE EXAMINATIONS NOVEMBER 2012 SECOND YEAR EXAMINATION 4YDC MEDICAL SURGICAL NURSING I (NEW SCHEME) Time : 3 hours Max. Marks : 75 Note : Answer any FIVE questions ---------------------------------------------------------------------------------------------------1. Write an essay on any TWO of the following a) Mr.Sham, a building worker sustained fracture of shaft of femur after a fall from the building. i) Disscuss the types of fracture, clinical manifestations of Fracture ii) Explain the surgical and post-operative nursing management of Mr.Sham. b) Mr.Ravi is diagnosed to have acute glomerulonephritis. i) Discuss the pathophysiology and the assessment finding of acute glomerulonephritis. ii) Explain the medical and nursing management of Mr.Ravi. c) Mr.Krishna is admitted to the surgical ward with the symptoms of intestinal obstruction. i) Discuss the etiology, pathophysiology and clinical Manifestations of intestinal obstruction. ii) Explain the pre-operative and post-operative management of a patient who has undergone permanent colostomy 2. Write short notes on any FIVE of the following : a) Care of the patient with intercoastal drainage b) Pneumonia c) Acne d) Endocarditis e) Appendicitis f) Hemodialysis g) Hepatitis 3. Write Brief Answer of the following: a) Write any two causes of atelectasis b) Enumerate types of Hernias c) Enlist the clinical features of Polycythemia d) Enumerate the complications of Atherosclerosis e) Name the types of Pnemothorax f) Enumerate the signs and symptoms of diabetes insipidus g) List the complications of Osteomalacia h) Enumerate the safety checks before blood transfusion i) Enumerate the etiology of acute renal failure j) List down clinical features of dengue fever. 55=25 215=30

102=20