The practical nurse (PN) is preparing to administer levothyroxine 25 mcg PO daily to a newly admitted client with hypothyroidism. The PN observes that the client's neck is enlarged, but the client denies pain or difficulty swallowing. Which action should the PN take?

A. Withhold the medication and notify the charge nurse: Not needed; goiter is common in hypothyroidism, and there are no swallowing/breathing issues. B. Administer the oral medication with a glass of water as scheduled: No contraindication; continue therapy as prescribed. C. Place the client on NPO status: Not indicated unless airway compromise or swallowing difficulty is present. D. Crush the medication and mix with applesauce: Levothyroxine should be taken whole with water on an empty stomach for optimal absorption.