The nurse returns to the client’s home to read the results of the TST. The 16-year-old, 15-year-old, and 13-year-old have an induration of 4 mm. Carlos’s spouse has an induration of 7 mm. The 3-year-old has an induration of 6 mm. Upon assessment of each family member, no manifestations of active pulmonary TB infection were noted. The family members’ results are reported to the provider.
Which of the following prescriptions should the nurse anticipate?
Have all family members receive a chest x-ray.
Have the 3-year-old receive isoniazid if chest x-ray confirms latent TB infection (LTBI).
Have the 16-, 15- and 13-year-old family members remain out of school for four weeks.
Enroll all family members to receive direct observation therapy (DOT).