Question

Based on the given example in the table given below, mention the contraindications and nursing implications to specific health assessment findings Health assessment findings

Contraindications Eg: Edema Edema may be a sign of fluid overload. Therefore, IV Fluids are likely to be contra indicated.

Nursing implications: -Monitor Fluid balance -Assess for skin integrity and implement strategies to prevent skin breakdown -Position client comfortably to assist with breathing and to prevent friction and shear -Administer diuretics and other medications as prescribed Health assessment findings Contraindications

34.4) Allergy to seafood

Contraindications:

Nursing implications:

34.5) Past history of Mastectomy

Contraindications:

Nursing implications:

34.6) Neutropenia

Contraindications:

Nursing implications:

Answer 1

34.4, Allergy to seafood

Contraindications:

Patient will have vomiting and indigestion..so avoid oral medication..

Nursing implications:

- check the patient breathing pattern because patient will have shortness of breath and wheezing

- check patient skin colour for any pale or blue colorations

- check patient conscious level

- administer Epinephrine as per doctor advice to make the airway relaxed

34.5, past history of mastectomy

Contraindications:

Avoid using tight cloths and doing anything strenuous, because there is lymph node removal was done it help prevent swelling

Nursing implications:

- Assess patient coping abilities and personality styles..

- encourage patient for self- help programs

- advice patient the things to be avoided reduce the risk and infection

34.6, neutropenia

Contraindications

Avoid uncooked food,raw foods, unpasteurized dairy foods to avoid infection

Nursing implications

- Avoid unnecessary lines, drains,tubes placed for patient to avoid infection

- advice patient about personal hygiene

- promote nutrition and prevent skin breakdown due to ulcer