An 7 year old with sickle-cell disease had been inpatient te…

An 7 year old with sickle-cell disease had been inpatient ten days prior, and received a transfusion of 2 units packed red blood cells. The child now presents to  the ED with back pain and increased scleral icterus.   When the patient was discharged from the hospital, the Hb was 10 gm/dL and is now 6 gm/dL on today’s admission. The DAT is 3 + for IgG.  The most likely situation at this time is:

A 54-year-old female patient with a history of hypothyroidis…

A 54-year-old female patient with a history of hypothyroidism presents to the clinic for a follow-up. She has been taking levothyroxine 100 mcg daily. Her recent labs show a TSH of 8.2 mIU/L (normal: 0.4–4.0 mIU/L) and a free T4 that is slightly below the reference range. She reports persistent fatigue, weight gain, and cold intolerance. Which of the following is the most appropriate nursing action?