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NATIONAL OPEN UNIVERSITY OF NIGERIA

UNIVERSITY VILLAGE, PLOT 91, CASDASTRAL ZONE, NNAMDI AZIKIWE EXPRESS WAY, JABI, ABUJA.
FACULTY OF HEALTH SCIENCES
JANUARY 2013 EXAMINATION

PROGRAM:               BACHELOR OF NURSING SCIENCE ( BNSc.)

DATE:                                    Wednesday 30th January

COURSE TITLE:       MEDICAL SURGICAL NURSING 111

COURSE CODE:       NSS 403                              COURSE CREDIT: 3 

 TIME ALLOWED:   3 HOURS

INSTRUCTION:        ANSWER ONLY 5 OUT OF 7 QUESTIONS

 

  1. Mr Mark  a 30 year old man reported in the hospital with a condition diagnosed as hypervolumia
  1. List 3 causes of this diagnosis                                                      6mks
  2. Describe the Medical management of Mr Mark                           4mks
  3.  Using the nursing care plan manage fluid volume excess           10mks

 

 

2. a Define the term and purpose of Parental Fluid Therapy                    5mks

    b. Discuss the types of IV Solutions                                                     15mks

3.    a. Describe the causes and diagnostic tests of Peptic Ulcer              10mks

        b. Discuss the management of Peptic Ulcer                                       10mks

 

4     Discuss respiratory acidosis and alkalosis with regard to causes, signs &symptoms, management and nursing diagnosis   10mks each =20mks           

5. Mrs Julius mother of three was admitted with Peritonitis following a surgical treatment in an unregistered health facility                                                              

a. Enumerate the causes and pathophysiology of this condition.                       10mks

 b. Describe the medical management of this condition.                                  10mks

 

6. a.  List the causes of viral hepatitis                                                                     2mks

 b.  Compare the characteristics of Types of Viral Hepatitis                            18mks

 

 

7. Write briefly on the following                                                                             5mks each

a. Causes of Hypernatremia

b. Clinical manifestation of Hypocalcemia

c Types and uses of Insulin

d. Maintenance of Acid–Base Balance


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