Medical Surgical Nursing II

8/8/2019 Medical Surgical Nursing II

1/13

%15 201..")8 1 542Rajiv Gandhi University of I Iealth Sciences- - Second Year M Sc. (Nursing) Degree Examination - April 2008

[Time: 3 Hours] [Max. Marks: 80]MEDICAL SURGICAL NURSING IIUROLOGY & RENAL NURSING

(Revised Scheme 2)Q.P. CODE: 9615

Your answers should be specific to the questions asked. Draw neat labeled diagrams wherever necessary. Answer all qUe5:ions LONG ESSAY 4 X 15 =60 Marks

1. Mr. Kumar aged 48, a known chronic renal failure patient is admitted ir. your unit f o , ~ renaltransplantation. Answer the following based on above scenarioa) Detail the pathophysioiogy of chronic renal failureb) List the complications of chronic renal failure and give reasons for the samec) Formulate five priority nursing diagnosis and write relevant nurs\:"'!9 interventions forMr.Kumar in the preoperative period

2. Hr. Ahmed aged 52, a chronic smoker, is admitted with cancer of bladder for surgerya) Illustrate the clinical staging of carcinoma of the bladderb) Explain on urinary diversionsc) Chemoth>erapy drugs used in bladder cancerd) Discuss the post operative nursing care including the rehabilitatiVe measures forMr. Ahmed3. a) Define Glomerulonephritis and enumerate the etiology arc risk factors ofglomerulonephritisb) Explain the pathophysiology and clinical manifestations of glomerub,ephritisc) Write the nursing management with an emphasis on patient educat:'1 and home care4. Mr. Rakesh aged 53 years is admitted in the renal unit with the diagnos:s of end stag.e renaldisease, on maintenance hemodiatysisa) What are the indications of hemodiatysis?b) Ust the principles used in hemodilysis. Give explanationc) Ust the vascular access that can be used in hemodialysis and de!:::" on nurse's role tomaintain eachd) Mention the complications that could occur during hemodialyss and write nursingmanagement for the sa me

SHORT ESSAY 2 X 10 =20 Marks5. 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 ~ r i t l 1 i 1 H A . ~ A N '


2/13

St514_2008 _1_S41Rajiv Gandhi U n i \ ~ e r s i t y of Health Sciences 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 Your answers should be specific to the Questions asked. Draw neat labeled diagrams 'wherever necessary. Answer all questions

LONG ESSAY 4 X 15 = 60 Marks1. 55 year's old man is admitte'd with the complaints of Compressive and sharp pain radi.ating toJaw and left arm, he looks anxious, pl;lse is fast, the BP shows a downward trend. Answer thefollowing questions:a) State the possible Diagnosis

b) Analyse the medical intervention and give your rationale and the nursing implicationsc) How will you meet the rehabilitation need of this patient?2. Explain the clinical characteristics and ECG patterns of normal sinus rhythm.. commonarrhythmias and arute coronary syndrome3. Ust down the causes, signs and symptoms, diagnostic tests, medical and nursing managementof pulmonary embolism4. Explain the post operative nursing care of a patient undergoing Valvular replacement surgeryfo r Aortic stenosis

SHORT ESSAY 2 X 10 =20 Marks5. Explain the role ofthe nurs.e in Cardia,c Rehabilitation after Open heart surgery6. Outline a self instructive module for the modification of Coronary risk factors

* * * 0: *

LIBRARYN D R K College of Nursing HASSAN.


3/13

Rajiv Gand11i University ofHealth Sciences Final Year M.Sc. (Nursing) Degree Examination April/May 200[Time: 3 Hours] [Max. Marks: 8

MEDICAL SURGICAL NURSING-II - CORONARY

QP Code: 8415Your answers should be specific to the questions asked. Draw neat labeled diagrams wherever necessary. ANSWER THE FOLLOWING 4 X 15 =60 Mark1. Mr. V 30 years factory worker is admitted with the diagnosis of carcinoma of the left lung. He waposted for pneumonectomy. a) What are the possible investigations done to diagnose bronchogenic carcinoma?

b) Enumerate the clinical manifestations c) Discuss the post operative nursing care of Mr. V using nursing process approach2. Mr. S 40 years executive is admitted to coronary care unit with the diagnosis of myocardia

infarction. a) Enumerate the pathophysiology of myocardial infarction b) Discuss the immediate nursing care of Mr. S fo r the first 48 hours c) Write the health education you would give for Mr. S before discharge 3. a) Describe mechanical venti la tion b) List the various types of ventilators available 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 waadvised to undergo aortic valve replacement

a) Explain the etiology of valvular heart diseaseb) Discuss the pre and post operative nursing management of Mrs. S including rehabilitatioand follow up care

WRITE SHORT NOTES ON ANY TWO 2 X 10 =20 Mark5. Cardio version6. Electrocardiogram7. Cardiopulmonary bypass8. Drugs used in cardiac arrhythmias

* * * * *


4/13

8416_2007_C512Rajiv Gatldlli UrIiversity ofHealth 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. ANSWER THE FOLLOWING 4 X 15 = 60 Marks1. Mrs. '5 ' 48 years old has been admitted with the diagnosis of rheumatoid arthritis 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

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 b) Pathological basis of clinical manifestations c) Preventive aspects 4. Describe various orthopaedic appliances used for management of orthopaedic patients

WRITE SHORT NOTES ON ANY TWO 2 X 10 =20 ~ J t a r k s 5. General principles of nursing care applied to orthopaedic patients6. Care of patient WIth skeletal traction7. Hyper vitaminosis - D

*****


5/13

8415 2006 1 503[1]Rajiv Gandhi University ofHealth S c i ~ n c e s , KamatakaFINAL YEAR M .Sc. (NURSING) DEGREE EXAMINATION

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

QP Code: 8415Your answers should be specific to the questions asked. Draw neat labeled diagrams wherever necessary. Answer the followingL IlIlr. Rqju, 50 years old clerk, presented with history of unstable angina for the oast oneyear. He is a known hypertensive and chronic smoker. His angiogram showed triplevessel disease with poor left ventricular function requiring a coronary artery by pass

grafta. Define coronary artery by pass graftb. Explain the pathophysiological basis of the following clinical manifestations

i) Triple vessel diseaseii ) Unstable anginac. Answer the following

i) Risk factors of coronary artery diseaseii ) Transluminal coronary angioplastyiii) List the possible complications of coronary artery by pass graftiv) Types of surgical procedures done for coronary artery revascularization

(1 + 4 + 10 :: 15 marks)2. a. Write the pathophysiology of pulmonary edema

b. List the clinical manifestations of pulmonary edemac. Describe the nursing measures fo r patient with pulmonary edema

(3 + 2 + 10 = 15 marks)3. Answer the following: a. Thrombo embolytic therapyb. Haemodynamic monitoringc. Arterial blood gas studies

(3 x 5 ::::: 15 marks)4. Describe pulmonary tuberculosis in terms of the followinga. Transmission and risk factorsb. Pathophysiological basis of the clinical manifestations

c. Nursing intervention(2 + 6 + 7 :: 15 marks)

Write Short notes on any two 2 X 10 :: 20 Marks5. Post resuscitation care6. . Fluid and electrolyte balance in cardiac patient7. . Cardiac pacemaker8. Chest drainage* * * * *


6/13

Rajiv Gandhi University ofHealth Sciences, KarnatakaFINAL YEAR M.Sc. (NURSING) DEGREE EXAMINATION

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

ORTHOPAEDIC REHABILITATION NURSINGQP Code: 8416

Your answers should be specific to the questions asked. Draw neat labeled diagrams wherever necessary. Answer the following1. Mr. R, 60 years old vendor, has been admitted with the diagnosis of

fracture of femur.a. Write the pathophysiology of fracture and its clinicalmanifestationsb. Discuss the nursing management including rehabilitation(7 + 8 = 15 marks)

2. Discuss myasthenia gravis in terms of the following: -a. Diagnostic tests done to rule out this conditionb. Pathological basis of clinical manifestationsc. Nursing Management

(2 + 4 + 9 = 15 marks)3. Mr. 5, is admitted in your ward with the diagnosis of multiple

myeloma,a. Write the clinical manifestations of multiple myelomab. Discuss the treatment modalities and the nursing management

(3 + 12 = 15 marks)4. Describe the activities of daily living and range of motion exercises of

orthopedic patients.(15 marks)

Write Short notes on any two 2 X 10 = 20 Marks5. Role of the nurse in caring fo r a patient with splints and braces6. Nursing assessment of orthopedic patients7. Anterior poliomyelitis

* * * * *


7/13

RC-8415 . 'SECOND YEAR M.Sc. '(NURSING) DEGREE EXAMINATION', 2004

, Nursing Speciality ,Paper II-MEDICAL SURGICAL N U R S I N % ~ ! ~ ~ ~ ? \ .

Time: ThreeHours, " ~ ~ / ' M a X i ~ : 80 MarksI. Answer all questions: . , \ \ ~ . \, " , ,ii '

1 Mr. Satish, a 62 years old business executive, is admitted to the ~ f ~ ~ a t : } " - ~ a ! e u r : ~ t f o t h a definitediagnosis of anterior wall myocardial infarction and third degree a 1 r i 4 i e h m ~ t U ~ i ; b l o c k . His pulse"'_.......,rate is 30 per minute and the repidly falling blood pressure is 90/46 minHg. He looks pale, is inobvious shock and has occasional convulSIons.

(a) Define third-degree heart block. Draw an example of ECG pattern. (1 mark)(b) Explain the pathophysiological basis of the following clinical manifestations :-

(i) Convulsions(ii) ,Bradycardia.

(2 + 2 =4 marks)(c) Describe the ECG of Mr. Satish in terms of the following :-

(i) Conduction.(ii) Configuration and, Location

. (iii) Causes. (iv) Clinical significance.

, (4 x 21h. ;:::: 10 marks)(3 marks)2 (a) Explain the indications for implanting a permanent pacemaker.(2 marks).(b) List four possible problems of patient with permanent pacemaker.

(10 marks)(c) Describe the nursing measures for patients with p e r ~ a n e n t pacemaker. 3 Describe any three life-saving devices on the following aspects :-

(a) Indications. (b) Working principles.(c) Observations of patient's prognosis.

(3 x 5 = 15 marks)

Turn over

1lI\


8/13

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: SOlMarksI. . Answer all questions :Define Angina. List the causes and signs andsymptoms. What are the specific investigationsuggested for this. Discuss medical and nursingmanagement of this client. .

. 2 / Define mitral stenosis. List the causes. Write the\ . / ' sigm and symptoms. Name the surgical (intervension for it. How do you plan the follow /

up care? Ceil0'. Enumerate nurses responsibility with thefollowing :-

(a) Pulmonary function test.(b) Haemodynamic moni toring. .

~ D i s c u s S the immediate post operative care of aclient after o,I?en heart surgcq. Select one of thetheory as conceptual frame work. (4 x 15 60 marks)

II. Write short notes on any two :1.1 Primary prevention of CAD.

Nurses role in prevention of nosoconical infectionin'ICU.

3 Lung biopy. .4 Equipment and suppl ies in CCu.(2 x 10 = 20 marks)

I , .


9/13

,"VU" "V. UJ US .. .1 I.}" LOne l ~ ( ) . I ,J-.t:. , ' - . , - / \ 0' "2i,d '1M; Sc.: (NURSING) DEGnER EXAl\] INATION, 200;)

lviih)I'CAL'SURGJCALNUltSlNG I I l l tS I, C O H O N A i t y l ~ ~ ' C A l t l ) i ( ) + 1 I 0 n A C I C NtlHSIN(; (TIH'or),)'ll. , " ' ~ \\,," ,I \ I ' "1lllle : 3 l J O I V ~ J , \ ., \' ,/vIllA. Marks: ,pO, . . ',.. . '

f 'I ''"iI \0 rnll l ' j / j 'd : ' , l d ' ~ I " f l l ! I I I : IH.d " l ' J,:'(lf" I , ' .' II ' " i "" ".:: < h 1 ? + ~ } j ~ ~ : f i 1 ~ ' ~ ! ~ r ~ H f J W ~ ' J ! . 1 ' 01 / I " " ~ I : ' J .;, 'I I i ." : ': .,,, "; :: ,,;,;::', , n ~ t ~ o i Y : ( } : E k ~ ~ ~ i l i , , ) h l ~ ' ( d l l O ~ i ~ ~ ' i ~ i ~ ' f " ~ i ~ i i ~ l i ' to I ~ ~ r d i a c aiTvthmia:' [2+5+8= 15]i : ' , ~ . r r ' " ~ " " : " ; " \ \ ' " .noTIHl .JJ j , f I l J I I I I .,' , : l ' l l , lr .d " ; , , , ' i I , ' / !

\ - t" t" .- t \', , i): ~ n u m e r n t e the etiology

. i '/ II .'i H), ,Pathophysiology \ ' ~ l : ' " II,;,!!, "' , "I : ,, "l '. t 'i ~ \ . 1 " ~ . l " 1 , t , , . , ,1 "f; t: ! I: 'J L iii) ~ l e c t r i c ! 1 1 management ' , 'I , " (.[.);'11.'1 : : . J I I ' , ) 1 ~ 1 1 . ~ I . 1 " ' ~ ( ' I I 1 ' 4 ~ ' \ l J ' , "'" ' [( ~ : : : 2 j + l A r i ~ ~ ~ ~ the following in relation to ECG tracing: [5+ lO= 15]

, j , I ,, ' : J ~ " ; ' [ " ~ J ' / o ( f / \ . ) ! l " \ ' r : ) b ( w bl'l! 1' ': ;/1 '" ' ' ' , I " I i , ! I ; f t I JIri'?'{ ')JI . ~ ' ) f i r r ! ! i ' E n u m e r Q t e i t h e ! i n d i c a t i o n s for 12-lead ECG.i ' I"": \rl':"";. f: :"Qf '\ f1t l f ","li 11 ' , . , t+" . , . ' , , , ,_ ' . ' l 111 , ' ,Of .. I, U) 'll1ustr.b!e and explain Q'12-lead ECG ' '. ',', , j'", ,rfll:rH:3)'I,H i)' ~ i : : Enumcratcithc'risk'fuctors'of I'hcumntic fcver. 13+ 1 2 ~ 15J

, t .# f t . I; .",;. \, , .I ) lJ IH) : HKpluiil the clrcct uf rhJ,:u11mt ic f'cvcr 011 II I VlH,::aU1 l i l l i , CIH,lol'Hnl i ti II IC , ~ ~ \ +, ! , . i d " l } l c r i d ~ l ~ l d i ' U l l l ' : " I I . l " I,, ' ' . ",f. '. 'I'" i , I

' , ) J q ~ I ' " M ? / I : r I ! , ; : I ' , { ' I I ' ~ t I ' J : f , I " ! ' ~ ~ ' ! ' , ~ , , ; I ' ,I. ~ 1 ) : : . i ~ 1 4 ) ~ I I l : D e s c r i b c . ~ l h e ~ c ~ r d i o ; v u s c ~ l a r a s s c s s l l 1 e n l for Congeslive Hearl Failure ..:: ..'::,,',:..; ; . ' .. ;,d ' " ' 111 : I: , [15]:: I. , " ' " : I, " I I' r " ' , . ' bIll: n i l f t ~ ) f l / ; .fiil:' r ;r rl ;>',11 t. ) .' j -v i ;.. i ! , ; , : 'T : ~ . ' :,;;i,?' 11.:, Write s h 9 r ~ notes on any of the fulluwing:. ' I , l l ' ,I "I '" : ,1,1 l201I j ' I \ ' , '

, I, b : ; ~ j J i l ' ; h q ~ " ) l I r l l l " ,-m.d ~ H I ' ", i l l " r ; l ~ ,1 / . " ," l 1 () IComplications of Thoracic surgery, , I I'6)' Chest drainage ,. I , . ,. , ; ( , , t I , . '7) Cardinc pa


10/13

RK-2127-ASECOND .YEAR M.S(;. ( N l J r ! ~ y ) : j Q E ( ; R E E EXAMINATION, 2002. -. ,'}.

N l l f S ~ ~ ~ a l i t y 0 IIMEDICAL S U R , G I C ~ L N Y R S I N G - II Paper VII-CORONARY N ~ S ~ N G AND;CARDIOTHORACIC NURSING

Time: 'Three Hours Maximum : 80 1 MarksAnswer allquestions.

1. Mrs . Retnaml 40-years is a d m i t : t E ; d ~ ~ t h l : ( ) n j e s t j \ 1 e 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.

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

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

3. Mr. Raj, 55-years is admitted for Coronary Artery bypass graft :(a) How will you prepare thepatient


11/13

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

Nursing Speciauty--n MEDICAL SURGICAL NURSING-II

. , 1Time ; Three Hours Maximum: 80 MarksI. Answer all questions;

1 Patient ma y enter the health care facUity a few days before cardiac surgery. Discuss the. nursing/ management of a patient before and after coronary artery b y ~ p a s s graft surgery using nursingprocess.2 A 50-year driver having three s c h o o l ~ g o i n g children is admitted with severe symptoms ofbronchiectasis. Explain the etiological factors involved an d the pathophysiological changes that

/ o c c u r . Discuss the nursing care of a patient with bronchiectasis. Using nursing process approach.13 A qp-ycar farmer is admitted w.ith complete heart block. His wife is an illitemte and having twosons who are employed.

Enumerate the clinical manifestations of complete heart block. Discuss the treatment modalities. Identify his needs/problems an d explain the nursing interventions. 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 m a n a g e ~ I ) t of COPD.(4 x 15 = 60 marks)

~ , ) t t \ II . Write short notes on any two: . , w1 Nursing care of patient with Empyema. , . ,"" .....A Pulmonary function test.3 Role of the nurse in coronary care unit.4 Drugs used in hypertension.

(2 x 10 =20 marks)


12/13

, i

SECOND YEAR M.Sc. (NURSING) DEGREE EXAMINATION, 2000Pnper VlI-Nul'sing Speciality ll-Medical Surgical Nursing-II

CORONARY NURSING AND CARDIO THORACIC NURSINGTinw: Thrc(' lIol.lrR Maximum: 80 Marks

Answer all questions.How will you recognize early signs and symptoms of complications that can occur afterMyocardial infarction? ,-

(b) Discuss the nursing interventions needed for p'atients with closed corrurussurotomy.(8 + 7 =15 marks)

2. (a) Explain tbe role of a nurse while mal


13/13

FINAL M.Sc NURSING EXAMINATIONDECEMBER - 1998

DR. M. V. ~ : i - : T fV M ; : M : J R ) ~ NURSING SPECIALITY - I I L t S - ~ . ;',' L H. S.(MEDICAL.SURGICAL NURSING) M M. I. ;;... LO R E

Timc:-3-00 Hours Max.Marks:80SECTION -A NEUROLOGICAL & NEUROSURGICAL NURSING

40 MARKSI Write the Classification of Brain tumours. \Vrite Pre and Post 15 Marks

Operative care of a patient with brain tumour.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.AIII Write short notes on anyone: 10 Marks

1. Nursing management of a client with convulsions2. Nurses role in cerebral angiography.

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

1. Explain pathophysiology and clinical manifestations of angina pectoris. 10 Marks2. Write nursing care plan based on nursing diagnosis for the above 05 Marksclient.

II 1. Write the indications of lobectomy. IS Marb2. Write the Pre ano Post operative carc or a client with lobectolllY

III Write notes on anyone: 10 Marks1. Pulmonary function tests. 2.Write nurses role in recording, Observation and Interpretation ofECG.

*-*******

Medical Surgical Nursing II

Documents

Transcript of Medical Surgical Nursing II