5Wesleyan University-Philippines

Mabini Extension, Cabanatuan City, Nueva Ecija, Philippines, 3100

College of Nursing

Name: Matias, Bryan Henrix C.

Yr-Blk Group: BSN 3-2 G3
Case: Pulmonary Tuberculosis
Assessmen Nursing Planning Intervention Rationale Evaluation
t Diagnosis
Subjective Ineffective Short Independent: PTB After 8 hours of
Data: AirwayClearanc Term: is transmitted nursing care, the goal
e related During my -Maintain via is partially met as
“Nahihirapan to presence 8 hours infection droplet inhalatio evidenced by
akong of bronchial nursing control n so proper client’s participatio
huminga” infectionand intervention through the precaution n
secretion , the client use of mask should be to breathing and
Objective will be able and performed to coughing
Data: to: performance avoid transmission exercises and
of to other clients. ability to expectorate
PR: 112 -Sustain handwashing sputum upon
Beat/Min respiratory before and - Elevating the evaluation; still there
rate within after contact head of the bed are episodes of
RR: 36 normal with patient. and turning dyspnea as
Breaths/Min range: client every two claimed by the
RR: 12-20 -Monitor hours help in client
Temp: 36.6 cpm. respirations decreasing
degree and breathe the pressure
celcius -Display sounds,notin placed on the
decreasing g rate and diaphragm.
Easy amount of sounds
Fatigability secretion. - Allergen may
Productive -Evaluate trigger more
cough Chills client’s accumulation of
at night Loss Long Term: cough/gag secretion due to
of appetite reflex and respiratory
as claimed -During the swallowing response.
Chest X- ray client’s stay ability
and sputum at the - These
examination hospital he -Increased exercises hasten
revealed will be able fluid intake the expulsion of
positive to maintain sputum and aids
for pulmonar patient Dependent: in maintaining
y tuberculosis airway as airway patency.
evidenced -Provide
by: respiratory - Fluids help
support loosen
-Normal measures secretion in the
respiration such as lungs.
evidenced oxygen
by absence therapy, -Warm fluids
of dyspnea nebulization help in
and or chest loosening the
adventitiou physiotherap secretions while
s breath y to promote cold liquids
sounds. airway triggers cough
clearance more often
-Absence and improve
of bronchial respiratory
secretions function.

-Provide
emotional
support and
counseling to
patients and
their families,
addressing
fears,
concerns,
and cioping
strategies
related to the
diagnosis
and
treatment of
PTB.

Collaborative
:

-Collaborate
with
physicians
and other
healthcare
providers to
ensure that
patients with
PTB receive
appropriate
follow-up
care and
monitoring,
including
regular
clinical
evaluations,
laboratory
testing, and
imaging
studies to
assess
treatment
response
and detect
any
complication
s or relapse.

-Collaborate
with
researchers
and quality
improvement
teams to
participate in
research
studies,
clinical trials,
and quality
improvement
initiatives
aimed at
advancing
the
understandin
g of PTB,
optimizing
treatment
outcomes,
and
enhancing
the quality
and safety of
care delivery
for patients
with TB.