A 27-year-old, female client with spina bifida with a history of pressure injuries is sent

A 27-year-old, female client with spina bifida with a history of pressure injuries is sent to the hospital by the home health RN who visits once every two weeks. The client has a temperature of 101.9ï‚°F and multiple stage 2 pressure injuries on her buttocks. The client is allergic to penicillin and has seasonal allergies to mold. During assessment, the client states, “I don’t have a life and I can’t work so I don’t have any money.” The client appears disheveled and is noted to have body odor. 1. What assessment information in this client situation is the most important and of immediate concern for the nurse?

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