DIAGNOSTIC PROCEDURE NURSING MANAGEMENT

TO DETECT CANCER
- Examine the patient's medical
history.
- Assess and monitor the patient’s
physical and emotional status.
- Keeping track of laboratory,
pathology and imaging studies.
- Safely administering medications,
fluids and cancer treatments, such
as chemotherapy.
Cancer screening - Collaborate with the patient’s
doctors and other clinicians about
the treatment plan.
- Help patients understand the
disease and their treatment plan.
- Help translate complex medical
terminology and answering
questions.
- Communicate with the doctors and
other clinicians on the patient’s
behalf.
- Help the patient plan for and
manage symptoms throughout
treatment.

- A structured physical examination

allows the nurse to obtain a
complete assessment of the
patient. Observation/inspection,
Physical exam palpation, percussion and
auscultation are techniques used
to gather information.  Clinical
judgment should be used to decide
on the extent of assessment
required. 
- Check the equipment to assure it
is working properly and is ready for
use on patients.
Laboratory tests - Drawing blood or administering
medication prior to testing.
- Provide patient care during the test
which may include administering
medicines when needed.
 - Monitor their current medical
condition, especially in those
patients deemed unstable.
- Test results are reported to the
patient's doctor, specialists and
others in need of the information
by nurses. 
- Check the test results often and
note any abnormal findings.
- Notify the physician of significant
abnormal results.
- Obtain an informed consent
properly signed.
- Assess for any history of allergies
to iodinated dye or shellfish if
contrast media is to be used.
- Ask the patient about any recent
Imaging tests illnesses or other medical
conditions and current medications
being taken. 
- Before imaging tests/exam, eat
normally and continue to take your
usual medications, unless
otherwise instructed. You will
typically be asked to change into a
gown and to remove things that
might affect the magnetic imaging,
such as: Jewelry, Hairpins,
Eyeglasses, Watches, Wigs,
Dentures, Hearing aids, Underwire
bras and Cosmetics that contain
metal particles.
- Instruct the patient to wear
comfortable, loose-fitting clothing
during the exam.
- Provide information about the
contrast medium.
- During the examination, tell the
 patient to remain still and to
immediately report symptoms of
itching, difficulty breathing or
swallowing, nausea, vomiting,
dizziness, and headache.
- Inform about the duration of the
procedure.

- Prepare and educate the patient.

- Assess them for complications
- Support them during the
procedure.
- The nurse should check vital signs
every 15 minutes for 1 hour, then
Biopsy every hour for four hours. Assess
for any bleeding, dyspnea,
elevated pulse rate, diminished
breath sounds on the biopsy side,
and eventually, cyanosis. Also,
remember to keep the patient calm
and quiet. Coughing and
movement during biopsy may
cause tearing of the lung by the
biopsy needle.
- Prepare sedation. Monitor the
patient during the procedure, and
provide after-care and instructions.
The nurse's management may
involve emergency measures
during or after the procedure.
Endoscopy - Inform the patient to stop drinking
and eating four to eight hours
before endoscopy to ensure
stomach is empty for the
procedure.
- Inform the patient to stop taking
certain blood-thinning medications
in the days before your
endoscopy.