A nurse is caring for a client who reports pain in their lower extremities following surgery. Which of the following should the nurse address first?

A. "Damage to the brain is related to coup and contrecoup injuries. Coup and contrecoup injuries are associated with closed traumatic brain injuries, where the brain hits the skull from forceful movement, such as in a car accident. These do not apply to penetrating injuries, where an object physically enters the brain tissue.
B. "Damage to the brain is related to the size, route, and rate of speed of the object entering the brain." In penetrating traumatic brain injuries, the extent of damage depends largely on the characteristics of the penetrating object—how large it is, the path it takes through the brain tissue, and how fast it enters. These factors determine the depth, location, and severity of brain tissue destruction.
C. "Damage occurs from the penetrating object shattering the skull and causing an infection."
While skull fracture and subsequent infection are possible complications, they are not the primary mechanisms of damage in penetrating brain injuries. The direct trauma caused by the object itself as it disrupts neural tissue is the main source of injury.
D. "Damage occurs from the penetrating injury causing leakage of cerebrospinal fluid." Cerebrospinal fluid (CSF) leakage may occur as a result of a skull or dura mater breach, but this is more of a secondary complication rather than the central mechanism of brain injury. The main damage is from direct tissue penetration and destruction.

A. Take this medication with a full glass of water or fruit juice: Levothyroxine should be taken with a full glass of water, but it should not be taken with fruit juice as it can interfere with the absorption of the medication, reducing its effectiveness. Water is the best option for taking levothyroxine.
B. Take this medication before a meal or several hours after a meal: Levothyroxine should be taken on an empty stomach, typically 30 minutes to 1 hour before breakfast or at least several hours after a meal. Food, especially dairy or high-fiber foods, can interfere with the absorption of the medication.
C. Take this medication during your morning meal: Levothyroxine should not be taken with food, as food can decrease the absorption of the medication, reducing its effectiveness. It is recommended to take the medication on an empty stomach to ensure proper absorption.
D. Take this medication with high-protein foods: High-protein foods may also interfere with the absorption of levothyroxine. It is best to avoid taking levothyroxine with meals or foods that may impact its effectiveness, including high-protein foods.