Six days after starting a prescription for oral amoxicillin solution, a client calls the clinic to report the onset of a low-grade fever. Which action should the nurse implement?

Choice A reason: Calling the clinic for diarrhea or headache is important, but it is not as urgent as reporting black stools, which can indicate gastrointestinal bleeding.

Choice B reason: Resuming NSAID therapy once pain subsides is incorrect. NSAIDs should be avoided due to their adverse effects on the gastrointestinal tract, especially if the client has already experienced bleeding.

Choice C reason: Resuming a diet of milk, cream, and bland foods is not necessarily required for managing the condition and may not address the primary concerns related to gastrointestinal bleeding.

Choice D reason: Notifying the healthcare provider of the passage of black stools is critical as it may indicate ongoing gastrointestinal bleeding, which requires immediate medical evaluation and intervention.

Choice A reason: Decreased appetite is a common symptom of hypothyroidism. The reduced metabolic rate associated with low thyroid hormone levels can lead to a lack of hunger and reduced food intake, contributing to weight gain despite a lower calorie intake.

Choice B reason: Restlessness is not a typical symptom of hypothyroidism. In fact, hypothyroidism often causes fatigue, lethargy, and a general slowing down of mental and physical processes rather than restlessness or hyperactivity.

Choice C reason: Intolerance to cold is a hallmark symptom of hypothyroidism. The decreased metabolic rate results in reduced heat production, making individuals more sensitive to cold temperatures and often leading them to feel cold even in warm environments.

Choice D reason: Constipation is a common symptom of hypothyroidism. The slowed metabolism affects the gastrointestinal system, reducing the movement of the intestines and leading to infrequent and difficult bowel movements.