A nurse is assessing a client with long-standing hypertension. Which symptom should the nurse recognize as a potential indication of hypertensive retinopathy?

Proteinuria

Blurred vision

Peripheral edema

Tingling in extremities

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is B

Explanation

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.

A. "Take your medication first thing in the morning on an empty stomach for optimal absorption." B. "It is best to take your medication with a large meal to minimize potential side effects." C. "Take your medication at the same time every day, regardless of meals, to maintain consistent blood levels." D. "Avoid taking your medication in the evening to prevent disturbances in your sleep pattern."

Correct Answer is C

Explanation

A) This option is incorrect. Taking antihypertensive medications on an empty stomach may lead to gastrointestinal irritation and is not the recommended approach.

B) This option is incorrect. While taking medication with a meal can help reduce potential stomach upset, it is not the primary consideration when timing antihypertensive medications.

C) Correct answer. It is essential to take antihypertensive medications at the same time every day to maintain consistent blood levels and ensure effectiveness. Consistency in medication administration is critical for controlling blood pressure.

D) This option is incorrect. Some antihypertensive medications, such as diuretics, may be best taken in the morning to avoid nighttime urination. However, the timing of medications should be discussed with the prescribing healthcare provider based on the specific medication regimen.

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A nurse is assessing a client with long-standing hypertension. Which symptom should the nurse recognize as a potential indication of hypertensive retinopathy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with hypertension. Which symptom should the nurse be particularly vigilant about, as it could indicate a hypertensive emergency?

Correct Answer is B

Explanation

A nurse is caring for a client with hypertension who is prescribed antihypertensive medications. The client asks the nurse about the best time to take their medication. What should the nurse instruct the client?

Correct Answer is C

Explanation

A client with hypertension asks the nurse about the role of salt substitutes in managing blood pressure. What should the nurse advise the client?

A nurse is discussing non-modifiable risk factors for hypertension with a client. Which factor should the nurse include in the discussion?

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A nurse is caring for a client with hypertension and instructs them on self-monitoring blood pressure at home. What should the nurse include in the teaching?

A nurse is discussing complications of hypertension with a client. Which target organ damage is related to hypertensive retinopathy?

A nurse is discussing modifiable risk factors for hypertension with a client. Which factor should the nurse include in the discussion?

A nurse is providing education on hypertension risk factors to a group of clients. Which client statement indicates a need for further clarification?

A nurse is providing education on hypertension management to a client. Which statement by the nurse accurately reflects a lifestyle modification for managing hypertension?