A client with osteomyelitis from a compound fracture of the left tibia has an open draining wound and is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA) infection. Which interventions should the nurse include in the plan of care? Select all that apply.
Explanation & Rationale
A. Institute contact precautions for staff and visitors: MRSA is a highly transmissible organism, especially through contact with wound drainage, so implementing contact precautions is essential to prevent spread. B. Explain the purpose of a low bacteria diet: A low bacteria (neutropenic) diet is used for immunocompromised clients, such as those with neutropenia or undergoing chemotherapy, but is not appropriate or relevant in the context of a MRSA wound infection. C. Send wound drainage for culture and sensitivity: Culturing the wound helps identify the exact organism and determine the most effective antibiotic treatment, guiding targeted therapy for MRSA. D. Monitor the client's white blood cell count: Monitoring WBC count is essential to assess the client’s immune response and track infection progression or resolution in osteomyelitis with suspected MRSA. E. Use standard precautions and wear a mask: Standard precautions are always necessary, but a mask is not required for MRSA unless there is a risk of droplet transmission (e.g., respiratory MRSA), which is not indicated in this wound-related case.