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B.Sc. (Nursing) Degree Examination
Fourth semester
(Revised/Modified Regulations)
Paper I - Principles and Practice of Adult Nursing/Medical Surgical Nursing

Section A

1. Ram, 50 yrs is admitted in ICU with acute left ventricular failure.
(a) Enumerate the clinical features of the above condition.        (5)
(b) Using the nursing process draw out a nursing care plan for this patient.        (10)

2. Write short nores on any three:                (3 x 5 = 15)

a        Abdominal paracentesis
b)        Anapphylactic shock
c)        Health education to a diabetic client
d)        Type B Hepatitis.


               Section B

       Venu is admitted with acute appendicitis for emergency surgery:


a)        What are the clinical features of acute appendicitis?        (4)
b)        What is the immediate Preoperative Management?        (5)
c)        Draw out a nursing care plan for the first 48 hors post-operative period.        (6)

Write short notes on any two:                                (2 x 5 = 10)

a)        Nursing care after haemorrhoidectomy.
b)        Meal planning for the client with liver cirrhosis.
c)        Care of the client with POP case of the lower extremity.


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Topic -  Index -   Medical Surgical Nursing -   
Disorders of the Reproductive System     Nursing    Anatomy   Index                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .                                                                                                                                                                                                                                                                                                                                                                                                            
Topic -  Index -   Medical Surgical Nursing -   Disorders of GIT
Disorders of the Gastrointestinal System     Nursing    Anatomy   Index    Colostomy & its care     Haemorrhoids      Hepatitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           .                                                                                                                                                                                                                                                                                                                                                                                                            
Topic -  Index -   Medical Surgical Nursing -    - - - - - - - - - - - -
Disorders of the Reproductive System     Nursing    Anatomy   Index                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .                                                                                                                                                                                                                                                                                                                                                                                                            
Topic -  Index -   Medical Surgical Nursing -   Disorders of GIT
Disorders of the Gastrointestinal System     Nursing    Anatomy   Index    Colostomy & its care     Haemorrhoids      Hepatitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           .                                                                                                                                                                                                                                                                                                                                                                                                            
Topic    -    Index    Anatomy  -  Special Senses     special senses    middle ear    ciliary body   intrinsic and extrinsic muscles of the eye refractiveerrors                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         .                                                                                                                                                                                                                                                                                                                                                                                                            
Topic    -    Index    Anatomy  -   Myology    myology     deltoid     gluteus maximus       muscles of the anterior abdominal wall    diaphragm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         .                                                                                                                                                                                                                                                                                                                                                                                                            
Topic -  Index - Anatomy - Reproductive System                                                                                                                                                                                               Reproductive system  Osteology    spermatic cord &  testis   uterus    uterus and its relationsuterine or Fallopian tubes     maleurethra      questionbank                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               .                                                                                                                                                                                                                                                                                                                                                                                                            
Topic -  Index - Anatomy - Osteology                                 
Osteology    skull    axial skeleton    appendicular skeleton    bones and joints of the upper limb           bones of the skeleton        carpal bones   tarsal bones   joints of the lower limb    synovial joint        cranium    long bone    physiologyofbonehealing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                .                                                                                                                                                                                                                                                                                                                                                                                                            
Topic -  Index - Anatomy - Nervous System                                    
Medical Surgical Nursing      Nursing     The tongue        Vermiform appendix         Pancreas            Blood supply to brain   Blood supply to the spinal cord   Circle of Willis    Meninges   Cerebellum structure and functions   Basal nuclei      Cranialnerves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          .                                                                                                                                                                                                                                                                                                                                                                                                            
Topic -  Index - Anatomy - Gastrointestinal System                                      
Medical Surgical Nursing      Nursing     The tongue        Vermiform appendix         Pancreas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                .                                                                                                                                                                                                                                                                                                                                                                                                            
Topic index : Anatomy - Cardiovascular system                                      Nursing       Anatomy   Question bank        Axillary artery    Vertebral artery        Arch of aorta    Spinal cord - Blood supply    Brain - Blood supply     . Interior of the Heart    Conduction system of heart   Portalvein     Veins of the  lowerlimb                                                                                                                                                                                                                         
                                      System Index : Anatomy
Medical Surgical Nursing         Anatomy   question bank     cardiovascular system   nervous system   special senses   endocrine system   respiratory system  urinary sytem    myology,     git  special anatomical regions or mis        body homeostasis cytology & histology blood     reticuloendothelial system        nutrition   blood   cardiovascular system reticuloendothelial system  nervous system   special senses   endocrine system   respiratory system nutrition git urinary sytem reproductive system myology,   osteology                                                                                                                                                    
                                                                           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