A 20-year-old client who has a clinical manifestation of exophthalmos is in the clinic for follow-up care. Based on this finding, the nurse would plan a nursing diagnosis for this client of which of the following?
1. Activity Intolerance
2. Ineffective Coping
3. Disturbed Body Image
4. Risk for Injury
3. Disturbed Body Image
Rationale:
Exophthalmus is a clinical manifestation associated with hyperthyroidism and would be a problem for a young client. The nurse would plan to assess self-esteem and make appropriate referrals. Activity intolerance and risk for injury are not particular to this medical diagnosis. The client's ability to cope could be an issue, but it would probably stem from the disturbed body image.
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