A nursing assistant tells the nurse that a client with paraplegia has an area of skin breakdown on his left calf. When the nurse assesses the client, he is sitting on a cushion in a wheelchair and wearing specialty boots. The nurse notes a circular wound 2 cm × 2 cm × 0.25 cm on the posterior aspect of the calf. What most likely caused the client's skin breakdown?
a) Leg rest of the wheelchair
b) Specialty boots
c) Sitting in the wheelchair for long periods of time
d) Absence of sensation in the lower extremities and immobility
Answer: B
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