Question

What would the nursing physical assessment be for a patient with Small Cell Carcinoma? List all the patients health stats in sentences with specific numbers/levels.

create a made up one for it using knowledge about this disease

Answer 1

1) Ans)The initial nursing assessment, the first step in the five steps of the nursing process, involves the systematic and continuous collection of data; sorting, analyzing, and organizing that data; and the documentation and communication of the data collected. Critical thinking skills applied during the nursing process provide a decision-making framework to develop and guide a plan of care for the patient incorporating evidence-based practice concepts.

Patient Assessment

It is important to perform a history and do a focused physical exam to be sure that there aren't any medical risks that would predispose the patient to a medical emergency during the actual procedure

Nurses prepare and position clients for physical examinations. Nurses provide privacy, explain and reinforce the procedures to the client and insure that the client is as comfortable as possible during the physical examination

Physical assessment

Common physical assessment findings of lung cancer include decreased/absent breath sounds, pallor, low-grade fever, and tachypnea.

Appearance of the Patient

Lethargic

Emaciated

Confused

Upper body obesity

Vital Signs

Vital signs are generally within normal limit, but patients with severe disease may present with:

Low-grade fever

Decreased SPO2

Tachypnea

Tachycardia

Hypotension

Skin

Pallor

Jaundice

HEENT

Jaundice

Lymphadenopathy

Visual defects

Rounded face

Increased fat around the neck

Neck :

neck assesment patients with lung cancer is usually normal.

Lungs

Decreased/absent breath sounds

Heart

CardioVascular assessment of patients with lung cancer is usually normal.

Abdomen

Discomfort on palpation

Hepatomegaly

Ascites

Back

Back assessment of patients with lung cancer is usually normal.

Genitourinary

Genitourinary  assessment of patients with lung cancer is usually normal.

Neuromuscular

Bone pain

Fractures (usually in the vertebrae, femur, pelvic bones, and the ribs)

Cranial nerve palsies

Extremities

Clubbing of fingers

Swelling of hands and feet

Weakness

Hemiplegia

Shoulder pain (caused by a Pancoast tumor)

Thinning arms and legs

Your doctor will ask about your medical history to learn about your symptoms and possible risk factors. Your doctor will also examine you to look for signs of lung cancer or other health problems.

If the results of your history and physical assessment suggest you might have lung cancer, more tests will be done. These could include imaging tests and/or biopsies of the lung