[LF 1018] Sub. Code: 4717 Q.P. Code : 664717
B.Sc (Nursing) Degree Examination Second Year Paper II
(New Regulations for the candidates admitted from 2006-07 onwards)
Medical Surgical Nursing - I
August 2014
Time : Three hours Maximum : 75 marks
I. Elaborate on: (2X15=30)
a) Define Diabetic keto acidosis.
b) Discuss the pathophysiology and the clinical manifestations of Diabetic keto acidosis.
c) Explain the management of Diabetic keto acidosis for the first 48 hours.
2. Mrs. Geetha, 48 years old is admitted with hyperthyroidism for surgical management.
b) List the clinical manifestations of hyperthyroidism.
c) Explain the pre & post operative management including the prevention of complications.
II. Write Notes on : (5X 5 = 25)
3. ECG
4. Rehabilitation of patient after below knee amputation
III. Short Answer Questions: (10X 2 = 20)
1. Four cyanotic heart diseases.
3. Two classical signs of Tetany.
4. Causative organism of typhoid and cholera.
5. Two indications for dialysis.
6. Four symptoms of osteoarthritis.
7. Four methods of non-pharmacological management of pain.
8. Four signs and symptoms of fracture.
9. Four responsibilities of operation theatre nurse.
10.Two opportunistic infections in Acquired Immunodeficiency Syndrome.
* * * * * * *
Cyanotic defects are defects in which blood pumped to the body contains less-than-normal amounts of oxygen, resulting in a condition called cyanosis. It causes a blue discoloration of the skin. Infants with cyanosis are often called "blue babies."
- Tetralogy of Fallot
- Transposition of Great Arteries
- Tricuspid Atresia
- Ventricular Septal Defect with reversal of shunt
Two Classical signs of tetany :-
Chvostek sign :- Percussion of the cheek in front of the external ear pinna will cause spasm of the facial muscles
Carpal spasm : can be elicited by tying the BP cuff and inflating the cuff
See the illustration on the right side of the page.
Typhoid is caused by Salmonella typhi. Paratyphoid fever is caused by Salmonella paratyphi
Cholera is caused by Vibrio cholerae
Mnemonic for indications for dialysis : Dialysis: Indications :- AEIOU
:
Acid-base problems
Electrolyte problems
Intoxications
Overload, fluid
Uremic symptoms
