The home health nurse is caring for a patient who has a comorbidity of hypertension. What assessment question most directly addresses the possibility of worsening hypertension?
A) "Are you eating less salt in your diet?"
B) "How is your energy level these days?"
C) "Do you ever get chest pain when you exercise?"
D) "Do you ever see spots in front of your eyes?"
Ans: D
Feedback:
To identify complications or worsening hypertension, the patient is questioned about blurred vision, spots in front of the eyes, and diminished visual acuity. The heart, nervous system, and kidneys are also carefully assessed, but angina pain and decreased energy are not normally suggestive of worsening hypertension. Sodium limitation is a beneficial lifestyle modification, but nonadherence to this is not necessarily a sign of worsening symptoms.
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