The nurse is caring for a client diagnosed with leukemia who has just completed a course of radiation therapy and chemotherapy in preparation for a bone marrow transplant. The nurse notices that the client is febrile, has foul smelling urine, and is complaining of urinary frequency and dysuria. What is the priority nursing action?

A. After a thyroidectomy and when receiving levothyroxine, it is essential for the patient to have regular follow-ups and blood tests (specifically TSH and free T4 levels) to ensure the dosage of levothyroxine is appropriate and to monitor for any complications related to the thyroid hormone levels.
B. Levothyroxine is a thyroid hormone replacement and, when taken appropriately, should help maintain a normal metabolism, potentially preventing weight gain. Weight changes can occur, but they are more likely to be due to improper dosing or underlying issues rather than a direct side effect of the medication itself.
C. Levothyroxine should be taken on an empty stomach, typically 30 to 60 minutes before breakfast, to ensure optimal absorption. Taking it with food can reduce its effectiveness.
D. While there are no strict dietary restrictions for most patients on levothyroxine, certain foods (such as those high in soy or fiber) can interfere with absorption if consumed around the time of taking the medication. Patients should be informed to take levothyroxine consistently and to wait a while before consuming certain foods that may impact absorption.

A.PSA is primarily associated with prostate health and is not an effective marker for diagnosing other male cancers. While elevated PSA levels can sometimes indicate issues related to the prostate, they are not used for diagnosing other types of cancer.
B. In fact, PSA levels are usually increased in the presence of prostate cancer. While there can be some conditions that lead to a decrease in PSA levels, cancer itself typically raises PSA levels.
C.PSA is commonly used as a screening tool for prostate cancer. Elevated PSA levels may prompt further investigation, including biopsies, to determine if cancer is present. However, it’s important to note that elevated PSA can also occur due to benign conditions like prostatitis or benign prostatic hyperplasia (BPH).
D.While PSA levels can indicate the possibility of prostate cancer, they do not provide a definitive diagnosis. A diagnosis of prostate cancer typically requires further testing, such as a prostate biopsy, to confirm the presence of cancerous cells.