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    HESI RN Exit VI Proctored Exam
    Select All That Apply

    A client with purulent drainage from an abdominal surgical incision is admitted with a possible vancomycin-resistant enterococci (VRE) infection. Which nursing intervention(s) should the nurse include in the plan of care? Select all that apply.

    Explanation & Rationale

    A. Standard precautions are important, but VRE requires contact precautions due to its highly transmissible nature. A mask is not specifically required unless there are respiratory symptoms.B. Contact precautions are essential for preventing the spread of VRE and should be instituted for staff and visitors.C. A low bacteria diet is not necessary for VRE infections; it is more relevant for immunocompromised patients.D. Monitoring the white blood cell count helps assess the infection's progression and the body's response.E. Sending wound drainage for culture and sensitivity is crucial for identifying the specific pathogen and determining appropriate antibiotic treatment.

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