Question

wound care consult: client has been spending several hours each day in a wheelchair and has now developed a pressure injury on the coccyx. prior to the accident, the client lived alone at home and was independent with all activities of daily living. pre - existing conditions included morbid obesity and hypertension controlled with a beta blocker. current labs significant for low albumin of 2.9 g/dl (29 g/l). the pressure injury is irregularly shaped, approximately 5.7 inches (14.48 cm) in diameter across the coccyx. there is a bright red skin border of intact skin about 1 inch (2.54 cm) wide, leading into an area of approximately 3.6 inches (9.14 cm) diameter where the skin is completely broken down and subcutaneous fat is clearly visible. the area is damp with oozing serous fluid. no undermining or tunneling is noted; no slough or eschar is seen; no foul odor is noted. plan: negative pressure wound treatment system will be applied with dressing changes bi - weekly by wound care team. over a period of a few days, the area of red skin on the clients coccyx has broken down, and a wound consult has been ordered. the nurse reviews the wound consultants progress notes. complete the following sentence by choosing from the list of options. the nurse recognizes that the client has developed a(n) stage 3 pressure injury with full thickness skin loss due to malnutrition and select... (surgical site infections, immunocompromised status, inadequate oral intake, obesity) note: a selection must be made for ea

Explanation:

To determine the second contributing factor for the pressure injury, we analyze the client's history. The client has morbid obesity (from pre - existing conditions) and has been spending long hours in a wheelchair. Obesity can lead to increased pressure on areas like the coccyx, contributing to pressure injury development. Surgical site infections are not relevant here as there's no surgical site mentioned. Immunocompromised status isn't indicated (no info suggesting immune issues). Inadequate oral intake isn't directly linked as the main issue here is pressure from obesity and wheelchair use, and the low albumin is related to malnutrition which is already a selected factor. So obesity is the correct choice.

Answer:

obesity