Nothing Special   »   [go: up one dir, main page]
Scribd Logo
Upload

Welcome to Scribd!

  • 664 views

    5 Nursing Management TB

    Uploaded by

    ً
    Nursing management for a tuberculosis patient includes assessing their medical history and physical exam, diagnosing risks like infection and impaired gas exchange, creating goals to promote airway clearance and adherence to treatment. Interventions involve instructing the patient on positioning, the treatment regimen, activity, nutrition, hygiene, isolation procedures, and monitoring for medication side effects.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    5 Nursing Management TB

    Uploaded by

    ً
    664 views2 pages
    Nursing management for a tuberculosis patient includes assessing their medical history and physical exam, diagnosing risks like infection and impaired gas exchange, creating goals to promote airway clearance and adherence to treatment. Interventions involve instructing the patient on positioning, the treatment regimen, activity, nutrition, hygiene, isolation procedures, and monitoring for medication side effects.

    Original Description:

    Pulmonary Tuberculosis

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Nursing management for a tuberculosis patient includes assessing their medical history and physical exam, diagnosing risks like infection and impaired gas exchange, creating goals to promote airway clearance and adherence to treatment. Interventions involve instructing the patient on positioning, the treatment regimen, activity, nutrition, hygiene, isolation procedures, and monitoring for medication side effects.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    664 views2 pages

    5 Nursing Management TB

    Uploaded by

    ً
    Nursing management for a tuberculosis patient includes assessing their medical history and physical exam, diagnosing risks like infection and impaired gas exchange, creating goals to promote airway clearance and adherence to treatment. Interventions involve instructing the patient on positioning, the treatment regimen, activity, nutrition, hygiene, isolation procedures, and monitoring for medication side effects.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Nursing Management

    Nursing management includes the following:

    Nursing Assessment
    The nurse may assess the following:

    • Complete history. Past and present medical history is assessed as


    well as both of the parents’ histories.
    • Physical examination. A TB patient loses weight dramatically and
    may show the loss in physical appearance.
    Nursing Diagnosis
    Based on the assessment data, the major nursing diagnoses for the patient
    include:

    • Risk for infection related to inadequate primary defenses and


    lowered resistance.
    • Ineffective airway clearance related to thick, viscous, or bloody
    secretions.
    • Risk for impaired gas exchange related to decrease in effective
    lung surface.
    • Activity intolerance related to imbalance between oxygen supply
    and demand.
    • Imbalanced nutrition: less than body requirements related to
    inability to ingest adequate nutrients.
    Nursing Care Planning & Goals
    Main Article: 5 Pulmonary Tuberculosis Nursing Care Plans

    The major goals for the patient include:

    • Promote airway clearance.


    • Adhere to treatment regimen.
    • Promote activity and adequate nutrition.
    • Prevent spread of tuberculosis infection.
    Nursing Interventions
    Nursing interventions for the patient include:

    • Promoting airway clearance. The nurse instructs the patient


    about correct positioning to facilitate drainage and to increase fluid
    intake to promote systemic hydration.
    • Adherence to the treatment regimen. The nurse should teach the
    patient that TB is a communicable disease and taking medications is
    the most effective means of preventing transmission.
    • Promoting activity and adequate nutrition. The nurse plans
    a progressive activity schedule that focuses on increasing activity
    tolerance and muscle strength and a nutritional plan that allows for
    small, frequent meals.
    • Preventing spreading of tuberculosis infection. The nurse
    carefully instructs the patient about important hygienic
    measures including mouth care, covering the mouth and nose when
    coughing and sneezing, proper disposal of tissues,
    and handwashing.
    • Acid-fast bacillus isolation. Initiate AFB isolation immediately,
    including the use of a private room with negative pressure in relation
    to surrounding areas and a minimum of six air changes per hour.
    • Disposal. Place a covered trash can nearby or tape a lined bag to the
    side of the bed to dispose of used tissues.
    • Monitor adverse effects. Be alert for adverse effects of medications.

    You might also like