INTERVENTIONS RATIONALE INTERVENTION

Assess immunization status People with incomplete

and history. immunizations may not have
sufficient acquired active
immunity.
Stress importance of
uninterrupted drug therapy.
Evaluate patient’s potential
for cooperation.
Instruct patient to cough or Behaviors necessary to
sneeze and expectorate into prevent spread of infection.
tissue and to refrain from
spitting
Review ABG results
Notify local health
department.
Liver function studies:
AST/ALT.
Analysis of arterial blood gas
and electrolytes may help
monitor the progression of
tuberculosis and provides
valuable information for
implementing treatment and
making prognostic decisions.
Helpful in identifying
contacts to reduce spread of
infection and is required by
law. Treatment course is long
and usually handled in the
community with public
health nurse monitoring.
Monitors adverse effects of
drug therapy including
hepatitis.

Diagnosis: Infection relation to inadequate primary defenses and lowered resistance

Impression

Relationship of the Nursing Diagnosis: Tuberculosis is extremely fatal disease as it can affect
not only organs of the respiratory system but also other organs of the body such as lymph
nodes, kidneys, central nervous system among others that can aggravate patient condition
leading to death. It is also highly contagious as it can be transmitted via tiny air droplets from
the patient to other people . Lack of knowledge about the condition may put the patient at a
fatal risk, as well as the people around him/her at high risk of contracting the disease.

Coughing up blood
Chills
Fever
Appears fatigued
Chest pain