A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL. Intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

MRSA is a highly contagious infection that can spread through direct contact or through contaminated surfaces. Placing the client in a private room helps minimize the risk of spreading

the infection to other patients or healthcare providers. This measure is known as "contact precautions" and is a standard practice for managing MRSA infections.

When removing personal protective equipment (PPE) after caring for a client with MRSA, it is important to remove the gloves first, followed by the gown. This sequence helps prevent contamination of the hands.

While it is generally important for visitors to practice good hand hygiene, wearing a mask when they are within 3 feet of the client may not be necessary unless they are providing direct care and are in close proximity to the client's respiratory secretions.

The use of N95 respirator masks is primarily indicated for airborne precautions, such as in cases of tuberculosis. For MRSA, the primary mode of transmission is through direct contact or contaminated surfaces, so standard precautions and appropriate hand hygiene are the key preventive measures.

Correct answer: C

A.Support sessions are important for addressing emotional needs and providing psychological support to clients facing major surgeries such as a total laryngectomy. Scheduling a support session can be helpful after surgery, but it's not the most immediate priority.

B.Assessing the client's reading ability is important for understanding the client's potential communication needs. However, determining reading ability is not the priority when compared to ensuring immediate post-surgery communication options.

C.An artificial larynx is a device used for speech production after a laryngectomy. It's important for the nurse to educate the client about this option for communication post-surgery. Familiarizing the client with the use of an artificial larynx is the most crucial intervention to address their immediate communication needs after surgery.

D.This technique involves swallowing air and manipulating it in the esophagus to produce sound. It's a more complex skill that can be explored after the client has mastered the artificial larynx.