A teenaged girl has noticeable exophthalmia of the right eyeball and proptosis of the left eye. The nurse will suspect and further assess for:
a. hypothyroidism c. growth hormone deficiency
b. congenital adrenal hyperplasia d. hyperthyroidism
D
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A Incorrect. Ophthalmic changes are not associated with hypothyroidism.
B Incorrect. Ophthalmic changes are not associated with congenital adrenal hyperplasia.
C Incorrect. Ophthalmic changes are not associated with growth hormone deficiency.
D Correct. Ophthalmic changes with hyperthyroidism include exophthalmos (bulging of the eyeballs), proptosis (downward displacement of the eyeball), lid lag, lid retraction, staring expression, periorbital edema (swelling around the eyeball), and diplopia (double vision).
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