<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 72-year-old man is seen in the hospital for a sacral rash. The patient has been hospitalized for the past 3 weeks for a heart failure exacerbation. When the nurse went to bathe him this morning, she noticed a red rash over his sacrum. The patient reports mild discomfort and denies pruritus. The patient has chronic kidney disease, urinary incontinence, ischemic cardiomyopathy, gout, and poor mobility. His current medications include aspirin, furosemide, metoprolol, lisinopril, spironolactone, and prednisone that was started for a recent gout flare. The patients temperature is 97F 37.2C, blood pressure is 11062 mmHg, pulse is 68min, and respirations are 13min with an oxygen saturation of 98 on room air. On physical examination, there is a 4 cm x 6 cm patch of non-blanchable erythema over the patients sacrum that is mildly tender to palpation. Labs are obtained, as shown below:Leukocyte count: 10,000mm3 with normal differentialHemoglobin: 15.2 gdLPlatelet count: 400,000mm3Serum:Na: 138 mEqLK: 4.3 mEqLCl-: 104 mEqLHCO3-: 25 mEqLBUN: 26 mgdLCreatinine: 1.5 mgdLGlucose: 185 mgdLA hemoglobin A1c is pending. Which of the following is the best management for the patients most likely diagnosis?? A: Metformin, B: Prophylactic oral ciprofloxacin, C: Repositioning, D: Surgical debridement, E: Topical silver sulfadiazine,  <response>: This is a question about diagnosing and managing a sacral rash in an elderly hospitalized patient with multiple comorbidities. Based on the description of a non-blanchable erythematous rash that is mildly tender, the most likely diagnosis is a pressure ulcerinjury. The patient has several risk factors for developing pressure ulcers including poor mobility, incontinence, and prolonged hospitalization. The labs show no signs of infection. Therefore, the management should focus on preventing further skin breakdown and promoting healing. Choice C, repositioning, is the best initial management as it removes pressure from the affected area and prevents progression of the injury. Choices A, B, D are not indicated based on the information provided. Choice E, silver sulfadiazine, may be appropriate for topical treatment but repositioning should come first.C: Repositioning 