Concept Map: Joan P.

Abardo RR43 Risk Factors: Close contact with someone who has active TB Immunocompromised status Substance abuse Person without adequate health care (e.g. children under 15 y.o. and adults ages 15-44 y.o.) Preexisting medical conditions Immigration from countries with a high prevalence of TB Institutionalization Living in overcrowded places Health care workers

Pulmonary Tuberculosis

Signs and Symptoms Low-grade fever Cough Fatigue Chest pain Anorexia

Night sweats

Hemoptysis

Weight loss

Nursing Diagnosis Ineffective airway clearance

Intervention

Risk for Infection

Fatigue

Pain

Imbalanced nutrition: Less than body requirements

Teach pt. about the infectious nature of TB and the need to prevent its spread. Nurses and visitors entering the patient's room should wear an N-95 mask and on the pt. Keep the door to the patient's room shut. when providing direct care to pt. how to avoid spreading the disease by sneezing or coughing into doubly ply tissue instead of their bare hands, washing their hands after this and disposing of the tissue into a closed plastic bag. Teach TB pt to stay in well ventilated areas and limit contact to other people while he or she is still able to spread the infection.

Increase fluid intake Instruct pt on correct positioning

Assign rest periods and periods of activity Instruct pt on correct positioning

Use pain rating scale to assess pts pain perception Position pt in his comfortable position Give

Instruct to eat small frequent meals Give liquid nutritional supplements

Evaluation: Goal met, pt was able to understand the instructions given