The nurse in an orthopedic outpatient clinic expects to see several clients with fractures for follow-up.After reviewing the clients' medical records,which client is at the highest risk of a delayed union?

Question

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A) Evaluating risk of delayed union requires knowledge of the factors that impact bone healing. The client at greatest risk of delayed union had the risks of an open fracture and osteoporosis. The client also used tobacco, which decreases blood supply to the healing bone. Although diabetes does increase risk of delayed union, this client is young and exercised on a bicycle prior to the accident. If the client is following an ADA diet, there is adequate intake of vitamin D and calcium, which fosters bone healing. Peptic ulcer or controlled hypertension are not risks for delayed bone healing.
B) Evaluating risk of delayed union requires knowledge of the factors that impact bone healing. The client at greatest risk of delayed union had the risks of an open fracture and osteoporosis. The client also used tobacco, which decreases blood supply to the healing bone. Although diabetes does increase risk of delayed union, this client is young and exercised on a bicycle prior to the accident. If the client is following an ADA diet, there is adequate intake of vitamin D and calcium, which fosters bone healing. Peptic ulcer or controlled hypertension are not risks for delayed bone healing.
C) Evaluating risk of delayed union requires knowledge of the factors that impact bone healing. The client at greatest risk of delayed union had the risks of an open fracture and osteoporosis. The client also used tobacco, which decreases blood supply to the healing bone. Although diabetes does increase risk of delayed union, this client is young and exercised on a bicycle prior to the accident. If the client is following an ADA diet, there is adequate intake of vitamin D and calcium, which fosters bone healing. Peptic ulcer or controlled hypertension are not risks for delayed bone healing.
D) Evaluating risk of delayed union requires knowledge of the factors that impact bone healing. The client at greatest risk of delayed union had the risks of an open fracture and osteoporosis. The client also used tobacco, which decreases blood supply to the healing bone. Although diabetes does increase risk of delayed union, this client is young and exercised on a bicycle prior to the accident. If the client is following an ADA diet, there is adequate intake of vitamin D and calcium, which fosters bone healing. Peptic ulcer or controlled hypertension are not risks for delayed bone healing.

The Nurse in an Orthopedic Outpatient Clinic Expects to See