Which patient is most at risk for pressure ulcer formation?

Choice A reason: Poor appetite for 3 days may lead to nutritional deficits, increasing ulcer risk long-term, but immediate risk is lower. Fecal incontinence causes ongoing moisture, making it a higher priority risk factor. Choice B reason: A raised red rash on the shin may indicate irritation or infection but does not directly contribute to pressure ulcer formation. Incontinence-related moisture is a greater risk, making this incorrect. Choice C reason: Capillary refill less than 2 seconds indicates normal perfusion, not a risk for pressure ulcers. Poor perfusion increases risk, but incontinence’s moisture directly threatens skin integrity, making this incorrect. Choice D reason: Fecal incontinence increases pressure ulcer risk by exposing skin to moisture and irritants, causing maceration and breakdown. This is a primary risk factor, making it the patient most at risk.