A nurse working on an orthopedic unit is caring for four clients. Which of the following clients should the nurse identify as being at greatest risk for skin breakdown?

An adolescent who has a cervical fracture and is in a halo brace

A middle adult who has a fractured radius and an arm cast

An older adult who has a hip fracture and is in Buck's traction

A young adult who has a femur fracture and is in skeletal balanced suspension traction