Which client is at the highest risk for wound dehiscence?

The client who is an obese female post-abdominal surgery is at the highest risk for wound dehiscence due to several key factors associated with obesity and surgical recovery.

Obesity increases the tension on surgical incisions, as excess fatty tissue can place additional strain on the sutures or staples holding the wound edges together. This added tension can lead to a higher likelihood of the wound failing to remain closed. Furthermore, individuals with obesity may also have impaired blood flow to the tissue, which can compromise the healing process and increase susceptibility to wound complications.

Additionally, after abdominal surgeries, the risks of complications such as seroma, hematoma, or infection are notable, which can contribute to wound dehiscence. The abdominal region often requires more careful management post-surgery due to the stresses associated with activities such as movement, breathing, and coughing, all of which can further increase the risk of the wound separating.

In contrast, the other individuals listed—like the thin male post-hip replacement or the young female post-appendectomy—generally would not have the same risk factors as an obese person. Age, overall health, and the type of surgery performed all play significant roles in the overall risk for wound dehiscence, but in