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Nursing Care Plan TB 1

The nursing care plan assessed a patient complaining of blood in their phlegm. Objectively, the patient had a temperature of 36.9°C, pulse of 82 bpm, respiratory rate of 28 bpm, and blood pressure of 110/80 mmHg. The plan was to intervene for 1.5 hours to educate the patient on reducing infection risk, proper sanitation, nutrition, and medication compliance. Evaluations showed the patient could then verbalize these lessons and understandings.

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Blair Margaux
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82 views1 page

Nursing Care Plan TB 1

The nursing care plan assessed a patient complaining of blood in their phlegm. Objectively, the patient had a temperature of 36.9°C, pulse of 82 bpm, respiratory rate of 28 bpm, and blood pressure of 110/80 mmHg. The plan was to intervene for 1.5 hours to educate the patient on reducing infection risk, proper sanitation, nutrition, and medication compliance. Evaluations showed the patient could then verbalize these lessons and understandings.

Uploaded by

Blair Margaux
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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NURSING CARE PLAN

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION


Subjective data: Risk for infection related to After 1.5 hour of nursing Interventions: After 1.5 hours of nursing
poor primary defenses, intervention, the patient will be intervention, the patient was able to:
“Inuubo ako nang may malnutrition, exposure to able to: 1. Assess symptoms and vital signs
kasamang dugo sa plema” as environmental pathogens 1.Verbalize the importance of
verbalized by the patient. 1.Verbalize the importance of Rationale: To help clinicians identify changes reducing the risk of infection.
reducing the risk of infection. in condition
2. Demonstrate proper handling of
2. Demonstrate proper handling 2. Educate on the medication regimen. items in the environment and proper
Objective data: of items in the environment and sanitation.
proper sanitation. Rationale: To inform patient that their
Vital Signs medication must be taken exactly as 3. Verbalize understanding of the
Temperature: 36.9°C 3. Verbalize understanding of the prescribed importance of a proper diet and
Pulse Rate: 82 bpm importance of a proper diet and nutrition plan.
Respiratory Rate: 28 bpm nutrition plan. 3. Reiterate the importance of follow-ups and
Blood Pressure: 110/80 regular retesting of sputum.
mmHg
Oxygen Saturation: 86 Rationale: To ensure the effectiveness of
treatments by monitoring progression of
GCS = 15/15 disease.
E= 4
V= 5 4. Place on airborne precautions.
M= 6
Rationale: To prevent spread of bacteria by
wearing masks and handwashing

5. Encourage and teach a well-balanced diet.

Rationale: To prevent malnutrition

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