A school nurse is implementing health screenings.
Which of the following assessment findings should the nurse recognize as the highest priority?

Choice A, This action is crucial for preventing the spread of MRSA, which is commonly found in wounds and can be transmitted through contact with contaminated dressings. Double-bagging ensures that the contaminated material is securely contained, reducing the risk of transmission.

Choice B, Removing fresh flowers is a general precaution often taken in hospital settings to reduce the risk of infections for immunocompromised patients. However, it is not specifically necessary for managing MRSA in a home environment unless the client has a significantly weakened immune system and is at risk for opportunistic infections..

Choice C,HEPA filters are used to improve air quality by removing particulates, allergens, and some pathogens. However, MRSA is typically spread through direct contact or contaminated surfaces, not through the air, so this measure is not specifically effective for MRSA prevention.

Choice D,MRSA is primarily spread through direct contact with infected wounds or contaminated surfaces, rather than through respiratory droplets. Therefore, wearing a mask within 3 feet of the client is not typically required for MRSA unless the client has a respiratory infection with MRSA. The focus should be on contact precautions rather than droplet precautions.

Scratching or piercing the skin is a form of self-harm and can be a sign of underlying emotional distress. This behavior should be identified as the priority for the nurse to address.

Choice A is not the correct answer because listening to loud music for several hours may not necessarily be harmful.

Choice B is not the correct answer because staying up all night playing online video games may disrupt sleep patterns but is not as concerning as self-harm.

Choice C is not the correct answer because talking about others on social media may be unkind but is not as concerning as self-harm.