Role of critical care nurse in conservative management

Question

Part A:

Question 1:

a) Define interstitial lung disease (ILD).
b) Explain the classification of ILD.
c) Enumerate various diagnostic measure to be followed in ILD.
d) Discuss the nursing care and health teaching tips that you as a critical care nurse should give while taking care of a patient with ILD.                        

Question 2: A pregnant women Radha has been admitted in ICU with Blood pressure of 240/140mmHg. She is restless, confused, having eclampsia, nausea and vomiting and was diagnosed as a case of hypertensive crisis. Keeping in view the condition of patient answer the following :

a) Describe the clinical manifestations that may be manifested by Radha.
b) Draw a flow chart showing pathophysiological changes in hypertensive crisis.
c) Describe the management guidelines of hypertensive crisis in emergency.
d) Explain the nursing management of Radha using nursing process.

Part B:

Question 3:

a) Enumerate the various causes of fulminant hepatic failure. 
b) Describe the role of critical care nurse in conservative management of a patient with fulminant hepatic failure.                                                     
Question 4:

a) Define volvulus and intussusception. 
b) Prepare a post operative check list for a patient with perforative peritonitis who has been just shifted to the recovery room after exploratory laprotomy.   

Question 5:

a) Discuss the characteristics of pain experienced by patient with myocardial infarction.
b) Explain the collaborative therapy of acute coronary syndrome with the help of an example.                                                  

Question 6:

a) Enlist the classification of aneurysm.
b) Describe the nursing management of a patient after aortic dissection giving suitable example from clinical area.                                
 
Question 7:

a) Explain the meaning of acute exacerbation in Chronic Obstructive Pulmonary Disease (COPD).
b) State the condition that trigger exacerbation of COPD
c) Explain the therapy for acute exacerbation of COPD.

Question 8:

a) Distinguish between cardiogenic pulmonary edema and non cardiogenic pulmonary edema in terms of clinical features and diagnostic evaluation.

b) Discuss the medical and nursing management of a patient with pulmonary edema admitted in medical emergency.                                                                   
Part C:
 
Question 9: Place tick mark (√) against the most appropriate answer given under each statement.

i) All the following are causes of type –I second degree heart block except:

• Digitatis intoxications
• Ishaemic heart disease
• Myocardial infarction
• Cardiac surgery 

ii) Following diagnostic study should be done in a patient with GI bleeding except:

• Endoscopy
• CT scan
• Colonoscopy
• Peritonoscopy 

iii) In acute pancreatitis the serum amylase is:

• Increased
• Decreased
• No variation
• Decreased when there is increased LFT

iv) Strategies to protect heart disease include following except:

• Regular excercise
• Healthy diet
• Advocate smoking
• Stress reduction measures  

v) In severe COPD there is:

• FEVI more than 50%
• FEVI less than 50%
• FEVI more than 30%
• FEVI less than 30%