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NCM 106 Module 2 Lesson 1

This document outlines nursing priorities and diagnostic procedures for a patient. It discusses assessing the patient for side effects of cancer treatment like pallor and infection. Bone scans, ultrasounds, prostate biopsies, and MRI fusion may help evaluate the patient's back pain. Nursing priorities include maintaining fluid balance, monitoring for electrolyte imbalance and vital signs, relieving pain, increasing mobility, and providing wound care.

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Joselyn M. Lachica
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78 views2 pages

NCM 106 Module 2 Lesson 1

This document outlines nursing priorities and diagnostic procedures for a patient. It discusses assessing the patient for side effects of cancer treatment like pallor and infection. Bone scans, ultrasounds, prostate biopsies, and MRI fusion may help evaluate the patient's back pain. Nursing priorities include maintaining fluid balance, monitoring for electrolyte imbalance and vital signs, relieving pain, increasing mobility, and providing wound care.

Uploaded by

Joselyn M. Lachica
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Don Mariano Marcos Memorial State University

South La Union Campus


COLLEGE OF COMMUNITY HEALTH AND ALLIED MEDICAL SCIENCES
Agoo, La Union
Tel. 072.682.0663 Care to learn, Learn to care
NURSING DEPARTMENT
Embracing World Class Standards

Name: _DIANNE D. VILLANUEVA ____________ Program and Course: __BSN IV_____


Date: __October 6, 2020____

What re the priorities to include in your nursing assessment of this patient?


 Assess patients for side-effects of the treatment.
 Assess skin and mucous membranes for pallor, delayed wound healing, enlarged
parotid glands.
 Assess all systems (skin, respiratory, genitourinary) for signs and symptoms of
infection on a continual basis.
 Assess skin frequently for side effects of cancer therapy; note breakdown and
delayed wound healing. Emphasize importance of reporting open areas to caregiver.

Identify the diagnostic procedures that you anticipate will be required to further evaluate
this patient’s back pain.
 Bone scan
If prostate cancer spreads to distant parts of the body, it often goes to the bones
first. A bone scan can help show if cancer has reached the bones. For this test, you are
injected with a small amount of low-level radioactive material, which settles in damaged
areas of bone throughout the body. A special camera detects the radioactivity and
creates a picture of your skeleton. A bone scan might suggest cancer in the bone, but to
make an accurate diagnosis, other tests such as plain x-rays, CT or MRI scans, or even a
bone biopsy might be needed.
 Ultrasound 
If other tests raise concerns, your doctor may use transrectal ultrasound to
further evaluate your prostate. A small probe, about the size and shape of a cigar, is
inserted into your rectum. The probe uses sound waves to create a picture of your
prostate gland.
 Collecting a sample of prostate tissue
If initial test results suggest prostate cancer, your doctor may recommend a
procedure to collect a sample of cells from your prostate (prostate biopsy).
 Prostate biopsy
It is often done using a thin needle that's inserted into the prostate to collect
tissue. The tissue sample is analysed in a lab to determine whether cancer cells are
present.
MRI fusion. While still being developed worldwide, MRI fusion to assist in prostate biopsy
and diagnosis is being used more and more.

What are your priorities for care of this patient?


 Maintain fluid balance and document intake and output, including fluid used to
irrigate the catheter.
 Assess for electrolyte imbalance.
 Monitor vital signs.
Don Mariano Marcos Memorial State University
South La Union Campus
COLLEGE OF COMMUNITY HEALTH AND ALLIED MEDICAL SCIENCES
Agoo, La Union
Tel. 072.682.0663 Care to learn, Learn to care
NURSING DEPARTMENT
Embracing World Class Standards

 Observe for signs of confusion or respiratory distress.


 Relieve pain by administering analgesics as ordered and evaluating effectiveness.
 Increase mobility beginning with early ambulation.
 Assess for bladder spasms.
 Monitor wound drainage and provide wound care as needed.

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