Difficulty: Medium
Average Score: 95%
Simulated
A client with draining skin lesions of the lower extremity is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA). Which nursing intervention(s) should the nurse include in the plan of care (POC)? Select all that apply.
Correct answer
A,B,E
Rationale
Monitoring WBC count helps detect systemic infection or response to treatment. Contact precautions are essential for MRSA to prevent transmission through direct contact with the infected wound or contaminated items. Sending wound drainage for culture and sensitivity confirms the diagnosis and guides appropriate antibiotic therapy. Standard precautions alone are insufficient for MRSA; contact precautions are required. Masks are needed for airborne diseases, not typically for MRSA transmission. A low bacteria diet is not indicated for MRSA skin infections.