A client with the diagnosis of hypothyroidism has diminished bowel sounds and reports feeling constipated. Which action should the practical nurse (PN) implement?

A. Withhold the next scheduled dose of levothyroxine: Levothyroxine should not be withheld for constipation, as it is the primary treatment for hypothyroidism. Stopping the medication could worsen metabolic function and is not indicated for mild gastrointestinal symptoms. B. Obtain the supplies needed for insertion of a nasogastric tube: Inserting a nasogastric tube is invasive and unnecessary for constipation unless there is severe obstruction or other complications. Routine constipation is managed with noninvasive measures first. C. Assist the client with ambulation in the room and hallway: Physical activity stimulates bowel motility and helps relieve constipation. Assisting the client with safe ambulation supports gastrointestinal function and promotes overall recovery in hypothyroid patients. D. Remove any food or fluid from the client's bedside and room: Restricting food and fluid would worsen constipation and is inappropriate. Adequate hydration and dietary intake are essential for promoting normal bowel function.