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(SUMMARY)NR667 | NR 667 VISE STUDY GUIDE 2023 - CHAMBERLAIN COLLEGE OF NURSING|NEW!!!|A GRADE
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 ...