A nurse is providing education to a client with hypertension about the potential complications of the condition. Which complication should the nurse emphasize as a result of hypertensive heart disease?

A) Correct answer. Occasional nosebleeds are typically unrelated to hypertension and are commonly caused by dry air, nasal irritation, or other factors.

B) This option is incorrect. While nosebleeds can occur in individuals with hypertension, they are not specific to hypertension and do not necessarily indicate worsening of the condition.

C) This option is incorrect. Nosebleeds are not an early warning sign of hypertensive crisis. Severe headache, shortness of breath, and neurological symptoms are more indicative of hypertensive crisis.

D) This option is incorrect. Nosebleeds, in isolation, are not usually indicative of severe hypertension. However, chronic uncontrolled hypertension can lead to target organ damage and potentially life-threatening complications.

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.