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.

Choice A reason: Monitoring the WBC count helps assess the client’s immune response and detect worsening infection or systemic involvement. Elevated WBCs may indicate sepsis or spreading infection. Choice B reason: Contact precautions are essential for preventing the transmission of MRSA, which spreads via direct contact with infected skin or contaminated surfaces. This includes using gloves and gowns and isolating the client when necessary. Choice C reason: Standard precautions are always used, but wearing a mask is not specifically required unless there is risk of aerosolization. MRSA is not typically airborne, so this intervention is not prioritized. Choice D reason: Sending wound drainage for culture and sensitivity confirms the presence of MRSA and guides targeted antibiotic therapy. It is a critical diagnostic step in managing the infection. Choice E reason: A low bacteria diet is not relevant to MRSA skin infections. MRSA is not foodborne, and dietary changes do not impact its transmission or treatment.