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    HESI RN EXIT PROCTORED EXAMQuestion 51
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    HESI RN EXIT PROCTORED EXAM
    Select All That Apply

    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. What intervention(s) should the nurse include in the plan of care? Select all that apply.

    Explanation & Rationale

    A. Explaining the purpose of a low bacteria diet is not directly relevant to the management of osteomyelitis or MRSA infection. This intervention would not be included in the plan of care. B. Using standard precautions and wearing a mask is essential when caring for a client with an open draining wound, especially when MRSA infection is suspected. This helps prevent the spread of infection to healthcare workers and other clients. C. Sending wound drainage for culture and sensitivity is important to identify the causative organism and determine the most effective antibiotic therapy. D. Monitoring the client's white blood cell count is important for assessing the client's response to treatment and detecting any signs of worsening infection. E. Instituting contact precautions for staff and visitors is necessary to prevent the transmission of MRSA to others. This includes wearing gowns and gloves when entering the client's room and ensuring proper hand hygiene practices are followed.

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