Kristine Anaya

It is important to review patients past

exposure to carcinogens, such as asbestos, as
well as any history of tobacco use.
Ask if the patient has any chronic lung
diseases, such as tuberculosis or COPD.
A family medical history should also be
obtained to assess for any history of cancers or
respiratory problems.

Review any medications the patient is

currently taking, including OTC medications
and herbal supplements.
It is especially important to note any
respiratory medications the patient may be
taking, as well as the patients response to these
medications.

A thorough head to toe assessment is

important.
Manifestations of lung cancer usually appear
late in the disease process.
Manifestations of the disease can help
determine the type of lung cancer as well as
any metastatic spread.

One the first symptoms that bring patients to

the doctors office is a persistent cough and
chest pain.
It is important to assess if cough is productive
or non productive, if there is any blood tinged
sputum present, or any pain in chest.
Ask patient how long cough has been present
as well as any treatments they have done for
cough and response to treatment.

Assess patient for any anorexia, nausea,

vomiting, fatigue, and recent unexplained
weight loss.
Ask the patient if they have had any fevers,
chills or night sweats.

Lung cancer with mediastianl involvement can

lead to cardiac complications, such as pleural
effusion , cardiac tamponade, and
dysrhythmias.
It is important to assess the patients blood
pressure, jugular vein distention, and heart
sounds.

It is vital for the nurse to assess the patient and

the family for anxiety.
Assess the patients support system and coping
skills.

Review with the patient their understanding of

not only the diagnosis of lung cancer but their
understanding of the procedures and treatment
options.
There are several different tests the patient will
undergo and it is important that the patient be
aware of their plan of care.

Lewis, Sharon L. (2007). Medical-surgical

nursing: assessment and management of clinical
problems. St. Louis, MO: Mosby Elsevier.