HESI RN EXIT 1 PROCTORED EXAM
Select All That Apply
A male client is admitted for the removal of an internal fixation device that was inserted for a fractured ankle. During the client's admission history, he tells the nurse that he recently received vancomycin for a methicillin-resistant Staphylococcus aureus (MRSA wound infection. Which action(s) should the nurse take? (Select all that apply)
Explanation & Rationale
A. Monitoring the client for signs of infection is essential, especially given the history of MRSA, which could recur or be ongoing. B. Calling the healthcare provider for a prescription without evidence of current infection is premature. C. Collecting screening cultures for MRSA is important for detecting current colonization or infection. D. Placing the client on contact transmission precautions is a standard practice for patients with a history of MRSA to prevent the spread of infection[6]. E. Obtaining a sputum specimen for culture and sensitivity may be indicated if there are respiratory symptoms or a high risk of MRSA pneumonia, but it is not specified in this scenario.
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