In a client with an open fracture, what complication is a nurse primarily concerned about?

In the context of an open fracture, the primary concern for complications is osteomyelitis. An open fracture involves a break in the skin, allowing bacteria and other pathogens direct access to the bone and surrounding tissues. This can result in an infection that is particularly difficult to treat due to the presence of necrotic tissue and foreign materials in the wound. Osteomyelitis, which is an infection of the bone itself, can arise if these pathogens penetrate the bone, especially in open fracture scenarios where the integrity of the skin is compromised.

Timely and appropriate intervention, including debridement, antibiotic therapy, and possibly surgical interventions, is crucial to prevent the development of this complication. The risk of osteomyelitis is significantly higher in open fractures compared to closed fractures, making it the primary concern for healthcare providers managing such injuries.

In comparison, while sepsis can occur from any infection and is a serious condition that needs to be monitored, osteomyelitis is more directly associated with the nature of open fractures. Pneumonia is unrelated to fractures and does not arise from this type of injury, and thrombosis, although a concern in immobile patients, is less directly linked to the fracture itself. Thus, osteomyelitis