A nurse is assessing a client with hypertension. Which symptom should the nurse be particularly vigilant about, as it could indicate a hypertensive emergency?
Blurred vision
Severe headache
Occasional dizziness
Mild chest discomfort
The Correct Answer is B
A) This option is incorrect. Blurred vision may be a symptom of hypertension, but it is not specific to hypertensive emergencies.
B) Correct answer. Severe headache is a concerning symptom that could indicate a hypertensive emergency, such as malignant hypertension or hypertensive encephalopathy.
C) This option is incorrect. Occasional dizziness is not specific to hypertensive emergencies, although it may be associated with uncontrolled hypertension.
D) This option is incorrect. Mild chest discomfort is not a typical symptom of a hypertensive emergency. However, any chest pain should be evaluated promptly as it may be indicative of other cardiac issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This option is incorrect. Proteinuria (presence of protein in urine) is not directly related to hypertensive retinopathy.
B) Correct answer. Blurred vision is a common symptom of hypertensive retinopathy, a condition characterized by damage to the blood vessels in the retina due to hypertension.
C) This option is incorrect. Peripheral edema is a sign of fluid retention and may be related to heart failure or kidney problems but is not specifically associated with hypertensive retinopathy.
D) This option is incorrect. Tingling in the extremities is not a typical manifestation of hypertensive retinopathy. It may be related to other conditions, such as peripheral neuropathy.
Correct Answer is C
Explanation
A) This option is incorrect. Hypertensive crises are characterized by a sudden and severe increase in blood pressure, not sudden drops.
B) This option is incorrect. During a hypertensive crisis, blood pressure levels can rise to extremely high levels, not remain stable.
C) Correct answer. Hypertensive crises involve severely high blood pressure levels, which can lead to acute organ damage and require immediate medical intervention.
D) This option is incorrect. Hypertensive crises are medical emergencies and require prompt medical intervention to lower blood pressure and prevent potential complications.
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