Take thyroid replacement medication as ordered.-2. watch for changes in body functioning, such as lethargy, restlessness, sensitivity to cold, and dry skin, and report these changes to the physician.-rationale: after the removal of the thyroid gland, the client needs to take thyroid replacement medication. the client also needs to report such changes as lethargy, restlessness, cold sensitivity, and dry skin, which may indicate the need for a higher dosage of medication. the thyroid gland doesnt regulate blood glucose levels; therefore, signs and symptoms of hypoglycemia arent relevant for this client. dehydration is seen in diabetes insipidus. injectable dexamethasone isnt needed for this client.client needs category: physiological integrityclient needs subcategory: physiological adaptationcognitive level: applicationreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1462.