A patient with tuberculosis tells the nurse that she does not want to continue taking the prescribed medication. Which action by the nurse is most appropriate?
1. Encourage the patient to complete the therapy to eliminate the disease from her body.
2. Document that the patient refuses to take the medication.
3. Ask the patient to return home and consider changing her lifestyle to eliminate contact with other people.
4. Have a tuberculosis skin test to check and see if the patient transmitted the disease to the nurse.
Encourage the patient to complete the therapy to eliminate the disease from her body.
Rationale: According to the Healthy People 2010 guidelines for infectious diseases and emerging antimicrobial resistance, the nurse should encourage the patient to complete the therapy to eliminate the disease from her body. Documentation is important; however, it is not the correct intervention in this situation. Asking the patient to return home and change her lifestyle is not an appropriate response. Assuming the patient transmitted tuberculosis to the nurse might be extreme at this time.
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