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M.Sc. Nursing. II Year BRANCH I – MEDICAL SURGICAL NURSING (CARDIO VASCULAR AND THORACIC NURSING)

Updated: Sep 8, 2022

Elaborate on:

1. a) Illustrate common form of congenital heart diseases and the management.

b) Detail on collaborative management of valvular heart diseases.

2. a) Explain the different types of aneurysms.

b) Draw a nursing care plan of a patient following aortic aneurysm repair.

3. Mr. X, aged 65 years is admitted with complaints of Orthopnea and Pedal oedema in ICCU and is diagnosed to have Cardiomyopathy.

a) Differentiate the types of Cardiomyopathy.

b) Discuss the diagnostic investigation to find out Cardiomyopathy.

c) Draw a nursing care plan to provide care for Mr. X, when he is subjected to heart transplantation.

4. a) Explain the pathophysiology of Adult Respiratory Distress Syndrome.

b) Describe the alternative modes of ventilation.

c) Elaborate the nursing management of a client on mechanical ventilation.

5. a) List out the causes of Endocarditis.

b) Mention the risk factors for Infective Endocarditis.

c) Explain the management of Infective Endocarditis in detail, including its preventive measures.

6. a) What is Aneurysm? What is the etiological classification of Arterial Aneurysm?

b) How will you provide Quality care for the first 48 hours after repairing an Abdominal Aortic Aneurysm.

7. a) Define respiratory failure and its types.

b) Chart the pathophysiology of respiratory failure.

c) Discuss the emergency management and nursing care of a client with acute respiratory failure.

8. a) Classify the valvular disorders and discuss the management modalities in detail.

b) Elaborate the nurse's role in rehabilitation of a client following valvular surgery.

9. a. Define Chronic Obstructive Pulmonary Disease (COPD).

b. Discuss the pathophysiology and clinical manifestations of COPD.

c. Discuss the nursing care plan for patient with COPD.

10. a. Define congenital heart disease.

b. Discuss the cyanotic and acyanotic heart diseases.

c. Explain the nursing management of a patient with congenital heart disease.

11. Mr. X, 45 years old, is diagnosed to have pleural effusion, and he is admitted for medical management.

a. Explain the etiology and pathophysiology of pleural effusion.

b. Discuss the medical management of Mr. X.

c. Explain the nursing management for Mr. X.

12. a. Define Hypertension

b. Discuss the pathophysiology & clinical manifestations of a patient with Hypertension.

c. Explain the medical management of a patient with Hypertension.

d. Discuss the nursing management of a patient with Hypertension.

13. a) Coronary circulation.

b) Pharmacological interventions of Acute Myocardial Infarction.

c) Explain the role of the nurse in the case of a patient with Pacemaker.

14. Mr. Manickam 62 years old clerk presented with complaints of Chest pain and breathlessness on exertion for the past 6 months. He was diagnosed as Myocardial Infarction following the investigations and underwent Coronary Artery Bypass Graft Surgery. You are assigned on the 2nd postoperative day to care for him.

a) Post operative complications of Bypass Surgery.

b) Explain the Post operative nursing management for Mr. Manickam.

c) Health education on home care for Mr. Manickam.

15. a) Define Rheumatic Heart Disease (RHD).

b) Write the cause, pathophysiology and clinical manifestations of Rheumatic Heart Disease (RHD).

c) Explain the perioperative nursing care of a patient with valve replacement surgery.

16. Mr. X aged 72 years admitted in oncology unit with the diagnosis of lung cancer. Explain the following:

a) Types, risk factors, pathophysiology and management of lung cancer.

b) Draw a post-operative nursing care plan for Mr. X who has undergone pneumonectomy

17. a) List the different types of angina, its clinical manifestations and the medical management of these conditions.

b) Mr. ‘X’ is 35 yrs old and is a smoker. Both his parents are diabetics but do not have history of heart disease. Apply nursing process in the management of Mr. ‘X’ with unstable angina and list the topics for health education.

18. a) Explain cardiac rehabilitation. List the lifestyle teachings for patients with coronary artery disease using principles of health education.

b) List the various risk factors for coronary artery disease and explain the process of physical conditioning for cardiovascular efficiency through exercises.

19. a) Definition, risk factors, Pathophysiology and clinical manifestations of Primary Hypertension.

b) Explain the Complications and Medical Management of Primary Hypertension.

c) Write the Nursing Management of a patient with Primary Hypertension.

20. a) What is Cardio Pulmonary Cerebral Resuscitation (CPCR) and write the indications of Cardio Pulmonary Cerebral Resuscitation?

b) Explain in detail the Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS). c) Write the Nursing role during a code.

21. a) What is arrhythmia? Explain the conduction system of the heart.

b) Explain in detail the types of arrhythmias and its management.

c) Enumerate the classification of anti-arrhythmic drugs.

22. a) Write a note on triggers, pathophysiology and clinical manifestations of Bronchial asthma.

b) Classification and complications of Bronchial Asthma.

c) Write the medical and nursing management of Bronchial Asthma.


Write notes on:

1. Health education of patient with permanent pacemaker.

2. Various methods of oxygen administration and nursing consideration.

3. Nursing care of patient with intercostal drainage.

4. Pulmonary rehabilitation.

5. Mobile coronary care unit.

6. Post-operative nursing care after coronary artery bypass graft.

7. Post resuscitation care.

8. Defibrillation.

9. Collaborative management of pulmonary Embolism.

10. Percutaneous coronary intervention.

11. Congenital cyanotic heart disease.

12. Nursing management of patient with thoracic surgery.

13. Pathophysiology of congestive cardiac failure.

14. Nurse's role in the management of intensive coronary care unit or intensive cardio thoracic unit.

15. Pleural drainage.

16. Mechanical ventilator.

17. Bronchodilators.

18. Cardiac cycle.

19. Mechanical ventilation.

20. Arterial blood gas analysis.

21. CPR.

22. Nursing Audit.

23. Angiogram.

24. Cardiac rehabilitation.

25. Pulmonary Function Test.

26. ECG changes associated with acute coronary syndrome with diagram.

27. Heart transplantation.

28. Raynauds phenomenon.

29. Ethical and Legal Issues related to Cardiac Nursing.

30. Post cardiac catheterization care.

31. Recent trends in cardiovascular and thoracic surgery.

32. Stress management in ICU.

33. Acute care of client with myocardial infarction.

34. Coarctation of aorta.

35. Role and responsibility of the nurse related to administration of diuretics and anticoagulants.

36. Any 6 post cardiac surgery complications and its preventive measures.

37. Nurse's role in infection control in coronary care unit.

38. ABG Analysis.

39. Management of patient with cardiogenic shock.

40. Post-operative care after CABG.

41. Mobile coronary care unit.

42. Inotropic agents.

43. Oxygen Delivery System.

44. Tracheostomy Care.

45. Care of a patient on Mechanical Ventilator.

46. Aortic Aneurysm.

47. Pulmonary Embolism.

48. Tetrology of Fallot.

49. Dilated Cardiomyopathy.

50. Postoperative Pneumonectomy Care.

51. Heart failure symptoms and causes.

52. Dietary management of Hyperlipidemia.

53. Management of tuberculosis.

54. Vasodilators.

55. Abnormal heart sounds.

56. Digitalis toxicity symptoms.

57. Role of nurse in prevention of deep vein thrombosis (DVT).

58. Management of a child with cyanotic spell.

59. List the eight signs in patients with aortic regurgitation.

60. Complications following the use of cardiopulmonary bypass pump.

61. Complementary and alternative therapy for patients with coronary artery disease.

62. Anti-coagulation therapy in patients with valve replacement.

63. List the sedatives and tranquilizers used in the immediate post-operative period, and the nurses alert for each.

64. Mobile coronary care unit.

65. Electrophysiology of heart.

66. Pulse oximetry.

67. Types, Pathophysiology, complications and management of Pneumonia.

68. Clinical manifestations, complications and management of varicose vein.

69. Tracheostomy care.

70. Chest physiotherapy

71. Evidenced based nursing in cardiovascular and thoracic nursing.

72. Design of ICCU.

73. Pleural Effusion.

74. Raynaud’s Phenomenon.

75. Atrial septal defect.

76. Anti-coagulants.

77. Invasive and non-invasive diagnostic techniques in cardiovascular and thoracic nursing.



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