SOLVED1935

DOT is the standard of care for all patients diagnosed with TB disease regardless of circumstances, however the nurse case manager provided this patient with a one-month supply of medications to self-administer and instructed him to return to the clinic every month to refill his prescription. After 2 ½ months of self-administered treatment, sputa were obtained and smears and cultures were reported as positive. The culture grew Mycobacterium tuberculosis (M. tuberculosis) and susceptibility studies continued to show that the isolate was sensitive to all first-line medications. What is the most likely cause for the persistently positive cultures? a. It is probably a laboratory error. b. He is probably not absorbing his medication due to a previous colon resection. c. He is probably not taking his medication. d. He has treatment failure due to his Hepatitis C co-infection.
SCIENCE
HEALTH SCIENCE
NURSING

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