Select the 2 actions the nurse should prepare to take for the client.

Airborne precautions (Anticipated): Tuberculosis is an airborne disease, requiring negative pressure isolation, N95 respirators, and airborne precautions to prevent transmission.

Rifampin (Anticipated): A key first-line TB medication that inhibits bacterial RNA synthesis. It is part of the standard RIPE (Rifampin, Isoniazid, Pyrazinamide, Ethambutol) regimen.

Contact precautions (Contraindicated): TB does not spread via direct contact, so contact precautions (gloves, gowns) are unnecessary unless the client has open wounds with drainage.

Isoniazid (Anticipated): A primary anti-TB drug that inhibits mycolic acid synthesis, crucial for treating active and latent TB infections.

Monthly TB skin test for 1 year (Contraindicated): Once TB is diagnosed, routine Mantoux tests are unnecessary, as they will likely remain positive due to prior exposure.

Pyrazinamide (Anticipated): A bactericidal TB medication used in the intensive phase of treatment to shorten therapy duration.

Ethambutol (Anticipated): Used to prevent drug resistance in TB treatment. Regular eye exams are needed due to the risk of optic neuritis.

A) Position the client on their left side.
This is the most appropriate action. The client's symptoms (dizziness, racing heart, and paleness) are consistent with supine hypotensive syndrome, which occurs when the pregnant uterus compresses the inferior vena cava while lying on the back, reducing venous return to the heart. Positioning the client on their left side relieves the pressure on the vena cava, restores normal blood flow, and alleviates these symptoms. This is a common intervention during pregnancy to prevent such complications.

B) Check the client's temperature.
While checking the client’s temperature may be necessary if an infection is suspected, the symptoms described are more indicative of supine hypotensive syndrome rather than an infection. Therefore, checking the temperature is not the priority action in this scenario.

C) Instruct the client to take a brisk walk.
Encouraging the client to take a brisk walk is not an appropriate response to the symptoms described. In fact, moving or exerting oneself might worsen dizziness or lead to further complications. The priority is to relieve the pressure on the vena cava by changing the client's position, not by physical activity.

D) Provide the client with a glass of orange juice.
Although providing orange juice might help if the client is experiencing hypoglycemia, there is no indication from the symptoms described that the client has low blood sugar. The client's symptoms are more likely due to positional changes that affect circulation during pregnancy, and the best immediate action is to change the client's position rather than offering food or drink.