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QUESTION IMAGE

an unstable client may be defined as one who fits which of the followin…

Question

an unstable client may be defined as one who fits which of the following descriptions?
a client whose newly placed tracheostomy is producing a large amount of secretions.
a clients whose blood pressure is lower after surgery that it was upon admission.
a client whose morning assessment reveals the presence of a wound infection.
a client who is confused and continues to get out of bed without assistance.

Explanation:

Brief Explanations

An unstable client often poses risks to their own safety. A confused client who keeps getting out of bed unassisted is at high - risk of falls and other injuries, indicating instability. A tracheostomy with secretions, post - surgery blood pressure change, or a wound infection are concerns but not as immediately indicative of overall instability as the risk of self - harm from confusion and unassisted mobility.

Answer:

A client who is confused and continues to get out of bed without assistance.