NATIONAL OPEN UNIVERSITY OF NIGERIA
14/16 AHMADU BELLO WAY, VICTORIA ISLAND, LAGOS
SCHOOL OF SCIENCE AND TECHNOLOGY
MARCH/APRIL 2014 EXAMINATION
COURSE CODE: NSS 403
COURSE TITLE: MEDICO–SURGICAL NURSING III
TIME ALLOWED: 3 HOURS
INSTRUCTION: ANSWER ALL
Question 1
(a) Define coronary artery disease (2 marks)
(b) Describe the pathophysiology of coronary artery disease (6 marks)
(c) Explain in details the diagnostic procedure for coronary artery disease (4 marks)
(d) Describe the nursing and medical management of patient with coronary artery disease
(8 marks)
Question 2
(a) What do you understand by myocardial infarction? (2 marks)
(b) Using the following headings below, write out the six (6) groups of drugs used in management of myocardial infarction:
i. Name of drug in the group ii Drug category iii Drug action
iv Dosage v Side effect vi Nursing consideration (18 marks)
Question 3
Write short note on the following
(a) Accelerated and Malignant Hypertension
(b) Essential and Secondary Hypertension
(c) Systolic and Diastolic Blood Pressure
(d) Arterial Blood Pressure
(e) Pacemaker (4 marks each)
Question 4
(a) Define shock (1 mark)
(b) Enumerate causes of shock (2 marks)
(c) Describe the pathophysiology of shock (6 marks)
(d) List signs and symptoms of shock (2 marks)
(e) Identify three nursing diagnosis for a patient in shock and draw a nursing care plan
(9 marks)
Question 5
(a) Describe three types of pneumothorax (6 marks)
(b) Explain six types of pneumonia (6 marks)
(c) Write short note on adult respiratory distress syndrome (4 marks)
(d) As a nurse, one of your duties is to prevent infection and to teach client and family how to reduce the potential for infections. Hence enumerate what you as a nurse teaches the client and family members. (4 marks)
You can get the exam summary answers for this course from 08039407882
Check the sample below