An alcoholic and homeless patient is diagnosed with active tuberculosis (TB). Which intervention by the nurse will be most effective in ensuring adherence with the treatment regimen?
a. Arrange for a friend to administer the medication on schedule.
b. Give the patient written instructions about how to take the medications.
c. Teach the patient about the high risk for infecting others unless treatment is followed.
d. Arrange for a daily noon meal at a community center where the drug will be administered.
ANS: D
Directly observed therapy is the most effective means for ensuring compliance with the treatment regimen, and arranging a daily meal will help ensure that the patient is available to receive the medication. The other nursing interventions may be appropriate for some patients but are not likely to be as helpful for this patient.
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Fill in the blank(s) with the appropriate word(s).