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 ["A","B","C","E","H"]

Explanation

Rationale:

Peripheral pulse: Strong and symmetric peripheral pulses in this client indicate that circulation through the femoral artery (the common catheter insertion site for PCI) is intact. This suggests no vascular complications like thrombus or hematoma, which are post-PCI risks.
Pain level: The client initially reported chest pain rated 8/10 with radiation to the left arm and dyspnea. A decreased pain level after PCI reflects reduced myocardial oxygen demand and ischemia, indicating that the intervention was successful.
Blood pressure: The client presented with elevated blood pressure (158/92 mm Hg), likely due to cardiac stress and pain. A return to a more stable range post-intervention indicates reduced sympathetic activation and improved hemodynamic status.
Heart rate: The client had a heart rate of 116/min earlier, likely secondary to chest pain and cardiac stress. A drop toward normal levels post-PCI reflects improved cardiac function and relief of ischemia.
Oxygen saturation: Earlier, the client showed dyspnea and shallow, labored respirations, with an SpO₂ of 96% on room air. An improved or sustained oxygen saturation level after PCI indicates better oxygen delivery and respiratory status, confirming reduced cardiac workload and improved perfusion.

A. "I can resume sexual intercourse in 48 hours." B. "I can expect some heavy vaginal bleeding for 24 hours." C. "I can use tampons when my period comes in a week." D. "I may have mild cramping for several hours."

Correct Answer is D

Explanation

Rationale:
A. "I can resume sexual intercourse in 48 hours.": Sexual intercourse should be avoided for approximately 3 to 4 weeks after a LEEP to allow proper healing of the cervix and reduce the risk of infection or bleeding. Resuming sexual activity too soon can disrupt tissue recovery.

B. "I can expect some heavy vaginal bleeding for 24 hours.": Heavy vaginal bleeding is not expected after a LEEP and should be reported promptly. Light spotting or a brownish discharge for a few days is normal, but significant bleeding can indicate complications.

C. "I can use tampons when my period comes in a week.": Clients are advised to avoid inserting anything into the vagina, including tampons, for several weeks post-procedure. This helps prevent infection and allows the cervical tissue to heal fully.

D. "I may have mild cramping for several hours.": Mild cramping for a few hours after the procedure is a common and expected response due to cervical manipulation. This symptom typically resolves on its own or with over-the-counter pain relief.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C","E","H"]

Explanation

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Correct Answer is D

Explanation

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