The nurse completes a skin assessment on a group of clients. Which client would be of greatest concern?

A. An older adult with fragile skin and a new dark red bruise is of greatest concern. Older adults often have thinner, more fragile skin due to aging, making them more susceptible to skin tears, bruising, and pressure injuries. A new dark red bruise may indicate trauma, potential falls, or even elder abuse, which requires immediate assessment and follow-up. Monitoring for hematomas, skin integrity, and underlying causes is critical. B. A child with fine vellus hair and no signs of rash represents a normal skin finding in children. Fine, soft vellus hair is expected, and without any rashes, lesions, or other abnormalities, there is no immediate concern. C. A pregnant client with increased sweating and mild skin darkening is experiencing normal physiological changes of pregnancy, such as hyperpigmentation (linea nigra, melasma) and increased diaphoresis. These are typically benign and do not indicate urgent pathology. D. An adolescent with mild acne and oily skin is experiencing common hormonal skin changes of puberty. While acne management may be appropriate, it is not an immediate concern for acute skin compromise or systemic issues.