The nurse would anticipate elevated levels of circulating T3 and T4 in the client with:
1. leukopenia.
2. thrombocytopenia.
3. hypoalbuminemia.
4. hemolytic anemia.
Correct Answer: 3
Rationale 1: A client with leukopenia would have normal levels of circulating T3 and T4.
Rationale 2: A client with thrombocytopenia would have normal levels of circulating T3 and T4.
Rationale 3: A client with hypoalbuminemia would have excessive levels of circulating T3 and T4. Any condition that causes decreased amounts of plasma proteins, such as protein malnutrition, can lead to a larger percentage of free thyroid hormone, with subsequent symptoms of hyperthyroidism.
Rationale 4: A client with hemolytic anemia would have normal levels of circulating T3 and T4.
Global Rationale: A client with hypoalbuminemia would have excessive levels of circulating T3 and T4. Any condition that causes decreased amounts of plasma proteins, such as protein malnutrition, can lead to a larger percentage of free thyroid hormone, with subsequent symptoms of hyperthyroidism. This is not the case in patients with leukopenia, thrombocytopenia, or hemolytic anemia.
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