Terms in this set (70)

a. Activities should be resumed gradually
c. A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated.
d. Respiratory isolation is not necessary because family members already have been exposed
e. Cover the mouth and nose when coughing or sneezing and put used tissues in plastic bags.

Rationale: The nurse should provide the client and the family with information about tuberculosis and allay concerns about the contagious aspect of the infection. Instruct the client to follow the medication regimen exactly as prescribed and always to have a supply of the medications on hand. Advise the client of the side effects of the medication and ways of mnimizing them to ensure compliance. Reassure the client that after 2 to 3 weeks of medication therapy, it is unlikely that the client will infect anyone. Inform the client that activities should be resumed gradually and about the need for adequate nutrition and a well-balanced diet that is rich in iron, protein, and vitamin C to promote healing and prevent recurrence of infection. Inform the client and family that respiratory isolation is not necessary because family members already have been exposed. Instruct the client about thorough hand washing and to cover the mouth and nose when coughing or sneezing and to put used tissues into plastic bags. Inform the client that a sputum culture is needed every 2 to 4 weeks once medication therapy is initiated. When the results of three sputum cultures are negative, the client is no longer considered infectious and can usually return to former employment.
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