Following a bone fracture, which of the following patients does the nurse identify as being at greatest risk for infection?
A) A patient undergoing closed reduction of a fracture
B) A patient in skin traction for a simple closed fracture
C) A patient with a cast for a closed fracture
D) A patient managed with surgical correction of a closed fracture
D) A patient managed with surgical correction of a closed fracture
Explanation: A) Closed reduction occurs when the bone is repositioned externally, leaving the skin intact.
B) The patient in skin traction for a simple closed fracture does not have any pins or wires creating a portal of entry for contamination.
C) Casting does not impair skin integrity and does not create a portal of entry for contaminants.
D) Impaired skin integrity as a result of surgical correction of a fracture increases the risk of bacterial contamination and development of an infection.
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