While caring for a client after a small bowel resection, the nurse is informed that the client has a history of methicillin-resistant Staphylococcus aureus (MRSA). To reduce the risk of recurrence of the MRSA in the postoperative wound, which intervention is most important for the nurse to implement?

A. Report any increase in the white blood cell count: An elevated WBC may indicate infection, but this is a late finding and does not directly prevent recurrence. Reporting lab changes is important but not the most immediate or effective intervention B. Change the surgical dressing when soiled: Keeping the surgical site clean and dry is the most critical step in preventing wound infection, particularly in clients with a history of MRSA. A soiled dressing promotes bacterial growth and increases the risk of reinfection, making timely dressing changes essential. C. Wear a face mask while performing wound care: A face mask protects against droplet spread but MRSA is primarily transmitted by direct contact. While masks may reduce overall infection risk, they are less critical than maintaining strict wound and dressing hygiene. D. Instruct the family to adhere to contact precautions: Family education is important in preventing MRSA transmission, but in the immediate postoperative period, the nurse’s priority is direct wound care. Preventing contamination at the surgical site takes precedence.