During a routine physical exam for a patient diagnosed with hypertension, the nurse practitioner will be most concerned if which of the following assessments are found?
A)
Noted hemorrhages and microaneurysms during evaluation of the internal eye
B)
Unable to feel vibrations when a tuning fork is placed on the skull
C)
Inability to locate the kidneys with deep palpation to the abdomen
D)
Slight increase in the number of varicose veins noted bilaterally
Ans:
A
Feedback:
Hypertension affects the eye in sometimes devastating ways. If there are acute increases in BP, hemorrhages, microaneurysms, and hard exudates can manifest. Vibrations relate to hearing loss. The kidneys should not be palpable to touch. Varicose veins are not associated with hypertension.
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