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The condition most likely to arise from constant contact with bed linens in immobile clients is pressure ulcers. When a patient remains immobile for an extended period, the continual pressure exerted on specific areas of the skin leads to reduced blood flow, which can cause tissue ischemia and subsequent necrosis. This is particularly concerning over bony prominences, where thin skin has less cushioning.

Bed linens may also contribute to moisture accumulation, friction, and shear forces against the skin, all of which can further increase the risk of skin breakdown and the development of pressure ulcers. Therefore, it's critical for healthcare providers to implement regular repositioning schedules, use pressure-relieving devices, and maintain skin hygiene to mitigate this risk in immobile patients.

The other conditions mentioned, such as dehydration, urinary tract infections, and pneumonia, while relevant concerns in immobile clients, are not directly resulting from constant contact with bed linens in the same manner as pressure ulcers. Dehydration might arise from inadequate fluid intake, urinary tract infections can occur from catheter use or poor hygiene, and pneumonia is often related to aspiration or immobility affecting respiratory function.