A patient with primary hypertension who returns for follow-up care reveals that he has been experiencing a change in vision, ie, blurring and decreased visual acuity. The nurse is aware that these symptoms could be indicative of:
A) Retinal blood vessel damage
B) Chronic kidney disease
C) Impending stroke
D) Hypertensive emergency
Ans: A
Feedback: Blurred vision, spots in front of the eyes, and diminished visual acuity can mean retinal blood vessel damage indicative of damage elsewhere in the vascular system. An eye exam with an ophthalmoscope is particularly important and any significant findings are promptly reported to determine the need for additional diagnostic studies.
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