A nurse notes that a client's eyes are protruding slightly from their orbits. Which of the following laboratory findings should the nurse expect?

Decreased calcium levels

Decreased somatotropin levels

Increased glucose levels

Increased T4 levels

Answer and Explanation

The Correct Answer is D

Rationale:
A. Decreased calcium levels: Hypocalcemia may cause neuromuscular symptoms such as tetany or tingling but is not associated with exophthalmos (protruding eyes). Calcium imbalance does not typically cause changes in eye appearance.

B. Decreased somatotropin levels: Somatotropin (growth hormone) deficiency may lead to growth delay or reduced muscle mass, but it is not associated with changes in orbital appearance. Protruding eyes are unrelated to growth hormone levels.

C. Increased glucose levels: Elevated glucose is characteristic of diabetes mellitus and may lead to complications like neuropathy or retinopathy, but it does not cause eye protrusion.

D. Increased T4 levels: Elevated thyroxine (T4) is seen in hyperthyroidism, particularly in Graves' disease, which is strongly associated with exophthalmos. The protrusion results from inflammation and edema of orbital tissues, a hallmark of this thyroid disorder.

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Correct Answer is D

Explanation

Rationale:

A. Dependent edema: This occurs due to fluid buildup in the peripheral tissues, which is typically caused by right-sided heart failure. It reflects systemic venous congestion rather than pulmonary issues associated with left-sided failure.

B. Jugular distention: Jugular venous distention is a sign of increased central venous pressure and is more often associated with right-sided heart failure, not the pulmonary congestion seen in left-sided failure.

C. Weight gain: Weight gain from fluid retention is more indicative of right-sided heart failure, which causes systemic congestion; it is not a primary manifestation of left-sided heart failure.

D. Frothy sputum: Frothy, often pink-tinged sputum results from pulmonary edema caused by left-sided heart failure. Blood backs up into the lungs due to poor left ventricular function, leading to fluid leakage into the alveoli.

A. N95 respirator B. Goggles C. Disposable gown D. Surgical mask

Correct Answer is D

Explanation

Rationale:
A. N95 respirator: N95 respirators are required for airborne precautions, such as with tuberculosis, measles, or varicella. Bacterial meningitis, caused by organisms like Neisseria meningitidis, requires droplet precautions, which do not necessitate an N95 mask.

B. Goggles: Goggles are used for protection against splashes or sprays of bodily fluids, particularly in procedures that may cause aerosolization. While helpful in certain situations, goggles are not required as part of standard droplet precautions for meningitis.

C. Disposable gown: Gowns are worn during contact precautions or when there is a risk of contamination from bodily fluids. They are not routinely required for droplet precautions unless the nurse anticipates contact with large amounts of secretions.

D. Surgical mask: A surgical mask is the appropriate PPE for droplet precautions, which are necessary for clients with bacterial meningitis. The mask prevents the spread of infectious respiratory droplets that can travel up to 3 feet during coughing or sneezing.

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A nurse notes that a client's eyes are protruding slightly from their orbits. Which of the following laboratory findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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