Which client is at the highest risk for developing osteomyelitis?

The client identified as being at the highest risk for developing osteomyelitis is the older adult with osteoporosis who is on bedrest after a vertebral compression fracture. This individual has several risk factors that contribute to the likelihood of developing osteomyelitis.

Firstly, osteoporosis can weaken bones, making them more susceptible to fractures and complications. When an older adult is on bedrest, there is an increased risk of immobility-related issues, such as pressure ulcers or skin breakdown, which can serve as potential entry points for bacteria, leading to infection. Additionally, the body's immune response usually diminishes with age, further increasing vulnerability to infections such as osteomyelitis.

This situation is also compounded by the fact that fractures in osteoporotic bones may not heal as robustly, enabling bacteria to invade the bone more easily if there are any opportunities for pathogens to enter through a fracture site or open wound.

In summary, the combination of osteoporosis, immobility due to bedrest, and the potential for skin integrity compromise makes this client particularly susceptible to developing osteomyelitis compared to the other options presented.