(SUMMARY)NR667 | NR 667 VISE STUDY GUIDE 2023 - CHAMBERLAIN COLLEGE OF NURSING

(SUMMARY)NR667 | NR 667 VISE STUDY GUIDE 2023 - CHAMBERLAIN COLLEGE OF NURSING 1. Hypertension Presentation: Most are not symptomatic, Occipital Headaches, headache on awakening in am, burry vision. Look for these clinical findings to rule out organ damage: Microvascular  Eyes (HTN retinopathy): AV nicking (causes when arteriole crosses on top of vein), papilledema  Kidneys: microalbuminuria and proteinuria, elevated serum creatinine and abnormal eGFR, peripheral or generalized edema Macrovascular  Heart: S3 (CHF), S4 (LVH), carotid bruits, decreased or absent peripheral pulses  Brain: TIA or hemorrhagic stroke Assessment/Exam:  Asymptomatic  Occipital headache  Blurry vision  Headache upon wakening  Exam of optic fundi: Look for AV nicking, hemorrhage, papilledema  LVH (long standing HTN)  Perform exam of symmetrical pulses  Auscultate for Carotid bruits, abdominal bruits, and kidney bruits Diagnostic studies: EKG, fasting lipid profile, fasting blood glucose, TSH, CXR to