A client with an open fracture should be closely monitored for which potential complication?

An open fracture, also known as a compound fracture, involves a break in the bone that pierces through the skin, creating a direct pathway for bacteria and other pathogens to enter the body. This direct exposure significantly increases the risk of infection at the fracture site. Infections can lead to serious complications, including the development of osteomyelitis (an infection of the bone), delayed healing, and in severe cases, amputation may be necessary if the infection cannot be controlled.

Because of the nature of open fractures, healthcare providers must monitor the wound closely for signs of infection, such as increased redness, swelling, warmth, pain, and the presence of discharge. Prompt medical intervention is crucial to manage any signs of infection, which can help ensure proper healing and prevent further complications.

While hemorrhage, deformity, and shock are important considerations in managing any fracture, they are not as specific to open fractures as the risk of infection is. The compromised integrity of the skin in open fractures makes infection the primary concern that needs vigilant monitoring.