A hospitalized client complains of fatigue, vision changes, and a significant headache. Which assessment finding would support a diagnosis of hypertension?
1. A retinal exam finding by the health care provider of microaneurysms and hard exudates
2. Blood pressure reading of 110/78
3. A one-time blood pressure reading of 140/99
4. Crackles bilaterally in all lung fields
A retinal exam finding by the health care provider of microaneurysms and hard exudates
Rationale: High blood pressure can be detected in the eye during a retinal exam by the presence of diffuse arteriole narrowing, microaneurysms, bleeding, cotton wool patches, and hard exudates. A blood pressure reading of 110/78 is within normal limits. A blood pressure reading of 140/99 is not significant with only one reading, but might be significant if repeated on more than one occasion. Crackles in all lung fields are not conclusive of hypertension without other assessment data.
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