A community health nurse visits a homeless shelter to provide directly observed therapy (DOT) to several clients who have been diagnosed with TB. Which of the following best describes the rationale for this nursing intervention?
a. Homeless clients do not care about their health.
b. Homeless clients do not have access to medications.
c. Poor adherence can result in drug re-sistance.
d. These medications are so powerful, clients must be observed for reactions.
ANS: C
Poor adherence has led to antibiotic resistant strains. These clients may care about their health but may have difficulty adhering to the treatment regimen. Medications to treat TB are available to the homeless population. The concern with the antimicrobial treatment is with non-adherence, not with side effects.
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