A nurse is caring for a client. Exhibits For each potential nursing action, click to specify if the action is essential. nonessential, or contraindicated for the client.

Restrict fluid intake: Restricting fluids can lead to dehydration and worsen the client’s condition, especially with a high fever and possible systemic infection. Maintaining adequate hydration supports immune function and helps the body fight infection. Place the client in a private room: MRSA is a contagious, antibiotic-resistant infection requiring contact precautions. Placing the client in a private room helps prevent spread to other patients and healthcare workers. Administer intravenous vancomycin: Vancomycin is the treatment of choice for serious MRSA infections. Administering IV vancomycin is critical to effectively manage the infection and prevent complications. Initiate supplemental oxygen: The client’s oxygen saturation is 96% on room air, which is within normal limits. Supplemental oxygen is not indicated unless respiratory status deteriorates. Wear a cover gown when caring for the client: Wearing a gown provides a barrier to prevent transmission of MRSA via contact with clothing or skin. This is a key component of contact precautions in MRSA care.