Admit him to the hospital in respiratory isolation
The client is showing s/s of active TB and because of a productive cough is highly contagious. He should be admitted to the hospital. placed in respiratory isolation. and three sputum cultures should be obtained to confirm the diagnosis. He would most likely be given isoniazid and two or three other antitubercular antibiotics until the diagnosis is confirmed. then isolation and treatment would continue if the cultures were positive for TB. After 7 to 10 days. three more consecutive sputum cultures will be obtained. If theyre negative. he would be considered non-contagious and may be sent home. although hell continue to take the antitubercular drugs for 9 to 12 months.