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NURSING DIAGNOSIS: Nutrition: imbalanced, less than body requirements
May be related to
- Fatigue
- Frequent cough/sputum production; dyspnea
- Anorexia
- Insufficient financial resources
Possibly evidenced by
- Weight 10%–20% below ideal for frame and height
- Reported lack of interest in food, altered taste sensation
- Poor muscle tone
Desired Outcomes
Nutritional Status (NOC)
- Demonstrate progressive weight gain toward goal with normalization of laboratory values and be free of signs of malnutrition.
- Initiate behaviors/lifestyle changes to regain and/or to maintain appropriate weight.
5 Pulmonary Tuberculosis Nursing Care Plan (NCP)
- Risk for Infection — Pulmonary Tuberculosis Nursing Care Plan (NCP)
- Ineffective Airway Clearance — Pulmonary Tuberculosis Nursing Care Plan (NCP)
- Impaired Gas Exchange — Pulmonary Tuberculosis Nursing Care Plan (NCP)
- Imbalanced Nutrition — Pulmonary Tuberculosis Nursing Care Plan (NCP)
- Knowledge Deficit — Pulmonary Tuberculosis Nursing Care Plan (NCP)
Imbalanced Nutrition — Pulmonary Tuberculosis Nursing Care Plan (NCP): Nursing Interventions & Rationale
| Nursing Interventions | Rationale |
| Document patient’s nutritional status on admission, noting skin turgor, current weight and degree of weight loss, integrity of oral mucosa, ability/inability to swallow, presence of bowel tones, history of nausea/vomiting or diarrhea. | Useful in defining degree/extent of problem and appropriate choice of interventions. |
| Ascertain patient’s usual dietary pattern, likes/dislikes. | Helpful in identifying specific needs/strengths. Consideration of individual preferences may improve dietary intake. |
| Monitor I&O and weight periodically. | Useful in measuring effectiveness of nutritional and fluid support. |
| Investigate anorexia and nausea/vomiting, and note possible correlation to medications. Monitor frequency, volume, consistency of stools. | May affect dietary choices and identify areas for problem solving to enhance intake/utilization of nutrients. |
| Encourage and provide for frequent rest periods. | Helps conserve energy, especially when metabolic requirements are increased by fever. |
| Provide oral care before and after respiratory treatments. | Reduces bad taste left from sputum or medications used for respiratory treatments that can stimulate the vomiting center. |
| Encourage small, frequent meals with foods high in protein and carbohydrates. | Maximizes nutrient intake without undue fatigue/energy expenditure from eating large meals, and reduces gastric irritation. |
| Encourage SO to bring foods from home and to share meals with patient unless contraindicated. | Creates a more normal social environment during mealtime, and helps meet personal, cultural preferences. |
| Refer to dietitian for adjustments in dietary composition. | Provides assistance in planning a diet with nutrients adequate to meet patient’s metabolic requirements, dietary preferences, and financial resources post/discharge. |
| Consult with respiratory therapy to schedule treatments 1–2 hr before/after meals. | May help reduce the incidence of nausea and vomiting associated with medications or the effects of respiratory treatments on a full stomach. |
| Monitor laboratory studies, e.g., BUN, serum protein, and prealbumin/albumin. | Low values reflect malnutrition and indicate need for intervention/change in therapeutic regimen. |
| Administer antipyretics as appropriate. | Fever increases metabolic needs and therefore calorie consumption. |
Found through:
ncp for cough, NCp for diarrhea, nursing care plan for vomiting and diarrhea, discharge plan for fever, imbalanced nutrition rt, impaired skin perfusion related to diarrhea, laboratory values nursing interventions
