A nurse is collecting data from a client who has Graves' disease.
Which of the following signs should the nurse identify as an indication that the client is experiencing exophthalmos?

Choice A rationale

Poor judgment is typically associated with right-hemisphere strokes, which impair attention, spatial orientation, and awareness. Left-hemisphere strokes primarily affect language and motor function, sparing judgment and spatial abilities. Understanding hemispheric stroke effects helps anticipate patient deficits.

Choice B rationale

Impulsiveness is also linked to right-hemisphere strokes, resulting from disrupted executive function and self-monitoring. Left-hemisphere strokes affect logical reasoning and language skills, rarely leading to impulsive behavior.

Choice C rationale

Left-sided weakness is characteristic of right-hemisphere strokes due to contralateral motor control. Left-hemisphere strokes typically cause right-sided motor impairments. Recognizing this distinction aids in accurate diagnosis and therapy.

Choice D rationale

Aphasia is a hallmark of left-hemisphere strokes, as this hemisphere controls speech and language in most individuals. Damage to regions like Broca’s or Wernicke’s area leads to expressive or receptive language deficits, necessitating targeted therapy for rehabilitation. .

Choice A rationale

A decrease in weight is common post-hemodialysis due to fluid removal. This is usually anticipated and does not require immediate reporting unless there are other associated symptoms or unusual weight patterns indicating fluid imbalance.

Choice B rationale

Vibration at the fistula site, known as a thrill, indicates proper functioning of the arteriovenous fistula. This finding is expected and does not necessitate urgent communication unless there are other complications.

Choice C rationale

Headache following hemodialysis may indicate fluid shifts, electrolyte imbalances, or other underlying problems. It should be reported to the provider for further evaluation and possible intervention to address these concerns.

Choice D rationale

Fatigue is a common post-hemodialysis symptom due to the physiological stress of the procedure. While expected, its severity should be evaluated in the context of other findings to determine if it needs attention.