NATIONAL OPEN UNIVERSITY OF NIGERIA

Plot 91, Cadastral Zone, NnamdiAzikwe Express Way, Jabi, Abuja, FCT
Faculty of Health Sciences
Department of Nursing Science
November 2018 Examination

COURSE CODE: NSC306

COURSE TITLE: Medical-Surgical Nursing II
COURSE UNIT: 3CREDIT UNITS
TIME ALLOWED: 3 HOURS
TOTAL MARKS: 70 MARKS
INSTRUCTION: ANSWER ALL THE QUESTIONS

1.Discuss the following conditions:

a. Liver abscess
b.Esophageal varices

under the following sub-headings:

i) Pathophysiology
ii) Clinical Manifestations
iii) Nursing Management
(15marks each total= 30)

2. (a)Enumerate the subjective and objective assessment of the hepatobiliary tract.

(8marks)
(b) Define liverbiopsy (1mark)
(c) Itemize the nursing responsibilities before, during and after the procedure of liver biopsy.
(10marks)
(d) State the complications of liver biopsy procedure (1mark)

3. MrKanyinle an ardent alcoholic is admitted into the male surgical ward with the diagnosis of
benign liver tumour. The growth is limited to a single lobe and the doctor has decided to perform
hepatic lobectomy.
(a) Discuss the nurse’s role in the pre-operative management of MrKanyinle
(8marks)
(b) Describe the immediate post-operative management of MrKanyinle.

(10marks)
(c) Explain complications that may likely occur following hepatic lobectomy (2 marks)