A patient is at risk for decreased right heart preload. The nurse realizes that which of the following findings would impact the patient's safety?
1. patient experiences dry flaky skin
2. patient experiences dry mucous membranes
3. patient experiences dizziness on rising to a sitting position
4. patient has no peripheral edema
3
Rationale: The signs of decreased right heart preload are poor skin turgor, dry mucous membranes, orthostatic hypotension, and flat jugular veins. Dizziness, dry skin, and dry mucous membranes are all correct assessments for the condition. However, the patient experiencing dizziness on rising to a sitting position indicates orthostatic hypotension, which puts the patient at risk for falls and fainting and, therefore, is the choice that impacts the patient's safety.
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