What instruction should the nurse include for a pregnant client diagnosed with tuberculosis?

For a pregnant client diagnosed with tuberculosis, the appropriate instruction involves the need for a treatment regimen that includes isoniazid and rifampin. Tuberculosis, if left untreated, poses significant risks to both the mother and the fetus, including the potential for severe illness and complications.

The use of isoniazid plus rifampin for a duration of nine months is a standard treatment strategy for active tuberculosis. These medications are generally considered safe for use during pregnancy as they have been shown to help manage the disease effectively while minimizing harm to the developing fetus.

Immediate hospitalization is not typically required for all cases of tuberculosis unless the patient has severe symptoms or there are complications. Similarly, it is important to note that refusing medication can lead to serious health risks for both the mother and the baby. Bed rest alone is not sufficient to treat tuberculosis, as effective medication is essential for recovery.

In summary, the treatment regimen involving isoniazid and rifampin for nine months is crucial for ensuring the health and safety of both the mother and the unborn child, making it the correct instruction for the nurse to provide.