A nurse is assessing a client with hypertension. Which clinical manifestation should the nurse recognize as a possible consequence of hypertensive encephalopathy?
Increased appetite and weight gain
Visual disturbances and headache
Pain and tingling in the extremities
Reduced urine output and fatigue
The Correct Answer is B
A) This option is incorrect. Increased appetite and weight gain are not typical manifestations of hypertensive encephalopathy.
B) Correct answer. Hypertensive encephalopathy is characterized by visual disturbances, severe headaches, and neurological symptoms resulting from uncontrolled hypertension and cerebral edema.
C) This option is incorrect. Pain and tingling in the extremities are not directly associated with hypertensive encephalopathy.
D) This option is incorrect. Reduced urine output and fatigue are more likely related to kidney damage and heart failure, respectively, rather than hypertensive encephalopathy.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A) This option is incorrect. Heart complications of hypertension include heart failure, myocardial infarction, and arrhythmias.
B) This option is incorrect. Kidney complications of hypertension include nephrosclerosis and chronic kidney disease.
C) This option is incorrect. Brain complications of hypertension include stroke and transient ischemic attacks (TIA).
D) Correct answer. Hypertensive retinopathy refers to damage to the blood vessels in the eyes due to hypertension, leading to vision problems and potential vision loss.
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