Asked by Jenny Blount on Apr 27, 2024

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Which client does the nurse recognize as being at greatest risk for pressure ulcers?

A) Infant with skin excoriations in the diaper region
B) Young adult with diabetes in skeletal traction
C) Middle-aged adult with quadriplegia
D) Older adult requiring use of assistive device for ambulation

Pressure Ulcers

Injuries to skin and underlying tissue resulting from prolonged pressure on the skin, commonly affecting bedridden or immobile individuals.

Quadriplegia

A condition characterized by the paralysis of all four limbs, typically resulting from injury or illness affecting the spinal cord.

Skin Excoriations

Damage or removal of part of the surface of the skin typically due to scratching or rubbing.

  • Discern the causes and risk variables responsible for pressure ulcers.
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ZK
Zybrea KnightMay 03, 2024
Final Answer :
C
Explanation :
The client at greatest risk for pressure sores is the one with a lack of sensory perception at the site (e.g.,quadriplegia).The infant with disruption to the skin from diaper rash is at risk for skin infection but not for a pressure sore.The young adult with diabetes is at increased risk for delayed wound healing but not likely for a pressure sore because he would shift weight in bed and respond to discomfort of pressure on a bony site.The older adult is normally at risk for pressure injury,but when mobile,even with an assistive device,the risk is minimal.