As nurses, we complete physical assessments on a routine basis, but typically these are focused assessments. Which components of the head-to-toe physical assessment are not routine for you (ones you do not use on a regular basis)?

Discussion Question: As nurses, we complete physical assessments on a routine basis, but typically these are focused assessments. Which components of the head-to-toe physical assessment are not routine for you (ones you do not use on a regular basis)? Why is it important for you to still be familiar with these components and skilled at completing them? Working in an Oncology chemotherapy unit, we complete a review of systems. The questions consist of asking the patients about, head to toe questions. The assigned nurse, will ask; any headaches, pain, coughing, congestion, dizziness, falls , fatigue, fever, chills, chest pain, shortness of breath, congestion, diarrhea, appetite, mouth sores, difficulty eating, numbness to hands or feet, rash, difficulty picking up objects, any recent falls, or trips to the emergency department, swelling to hands and feet, open wounds, difficulty urinating or pain. Its vital as administering chemotherapy nurse to be familiar with the side effects of chemotherapy. For example, Irinotecan can cause diarrhea. If a patient is being treated with Fluorouracil, I assess the hands and feet for possible hand and foot syndrome, . As soon as a patient checks in, I am looking at gait and noting if their having difficulty with ambulation, difficulty standing, is the patient a high-risk fall? The oral cavity is inspected for any possible ulcers. We assess the patient on as needed bases for example, patient complaining of difficulty breathing, the nurse will assess the lungs or legs for any edema. Palpate the kidneys if their suspecting a kidney infection. As a chemo clinic nurse, the I do not inspect the eyes for PERRLA or a confrontation test, or the oral cavity to see if the uvula rises with phonation but its still important as nurse to be familiar because XX Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. References: Bickley, L. (2017). Bates’ guide to physical examination and history-taking (12th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. ISBN: 978-1469893419. Review Unit 2

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