A patient suspected of having Grave's disease is tested for hormone abnormalities. In Grave's disease, the nurse would expect

Explanation

• Grave's disease causes hyperthyroidism through the stimulation of TSH receptors. This results in an elevated T4 level and a diminished TSH level (due to the negative feedback loop).

• An elevated T4 and TSH can occur in some types of hyperthyroidism if there is a problem with the negative feedback loop.

• A diminished T4 and TSH can occur in some types of hypothyroidism if there is a problem with the negative feedback loop.
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• A diminished T4 and elevated TSH occurs in hypothyroidism when the thyroid gland is not producing enough thyroid hormone.

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