The nurse is preparing to discharge a client who was treated for tuberculosis. Which guidelines for home management should the nurse include in his discharge teaching? Select all that apply.

  • The client may resume his normal activities.
  • The family should maintain respiratory isolation at home.
  • The medication regimen should be followed diligently as prescribed.
  • The client may return to work when three sputum cultures are negative.
  • The nurse should educate the client about the medication and possible side effects and their management.
Numbers 3, 4, and 5 are correct.
The medication regimen for tuberculosis may last up to 12 months, depending on the medications. Strict adherence is important to prevent a relapse. The client may return to most jobs after three sputum cultures are negative. Teaching the client about possible side effects and management of medication helps ensure compliance with treatment. The client should return to his previous activity level gradually, following the health care provider’s recommendations. There is no need for the family to maintain respiratory isolation at home since they have already been exposed.