The nurse is caring for a client with Parkinson's disease who has difficulty speaking. Which of the following instructions should the nurse provide to the client.

A. Increasing fiber can be beneficial for clients with hypothyroidism, as constipation is a common symptom of this condition. It helps improve bowel movements and overall gastrointestinal function.
B. Hypothyroidism is a lifelong condition, and thyroid replacement therapy is typically needed for life. The client must understand that they cannot stop taking the medication after a set period unless instructed by a healthcare provider.
C. Some medications can interfere with thyroid hormone replacement therapy, so it is important to be cautious and consult a healthcare provider before taking any new medications.
D. Regular monitoring of thyroid hormone levels is important to ensure that the thyroid replacement therapy is at the correct dosage. This helps prevent under- or over-treatment.

A. Chocolate is actually a common trigger for migraines in some people, due to its caffeine content and the presence of other compounds that can provoke migraines. It’s better to avoid chocolate if it is a known trigger.
B. Oral contraceptives can sometimes trigger migraines in women, especially those with a history of migraines. The hormonal fluctuations associated with oral contraceptive use can be a potential trigger for some individuals.
C. Maintaining a regular sleep schedule is an important lifestyle change for migraine prevention. Irregular sleep patterns or poor-quality sleep are common triggers for migraines. A consistent sleep routine helps regulate the body’s circadian rhythms and may help reduce migraine frequency.
D. Bright lighting can actually trigger migraines in some people. It’s better to avoid glare and use softer, dimmer lighting, especially in environments where you spend a lot of time.