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