A nurse has received bedside report on a group of clients. Which client is at the greatest risk for developing pressure injuries?

A. Clients with paralysis are immobile and unable to reposition themselves, which is a major risk factor for pressure injuries. Stroke-related neurological deficits often result in reduced sensation and impaired circulation, increasing susceptibility to skin breakdown. Immobility combined with decreased sensory perception makes this client the highest risk among the group. B. This client is generally mobile and capable of repositioning, and laparoscopic surgery involves small incisions with minimal disruption to mobility. The risk for pressure injuries is low in this case. C. Although this client may have some temporary limitations in mobility, being able to ambulate as tolerated significantly reduces the risk of pressure injury compared with clients who are completely immobile. D. Diabetes and neuropathy increase risk for skin breakdown due to impaired sensation and circulation, but if the client is still mobile and able to reposition, the risk is lower than that of a client with complete immobility from paralysis.