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?

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

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

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