What nursing management related to the diagnostic tests is necessary for the client considering the history?

Joe Clark, a 56-year-old male client, is postoperative 6 weeks after a total laryngectomy with a radical neck approach and reconstruction of the neck. He communicates via a Blom Singer prosthesis. Before surgery, he received 6 weeks of external beam radiation to help shrink the cancerous tumor. He has a past history of a kidney stone, which he passed. He had an intravenous pyleography (IVP) 2 months ago. He presents to the outpatient clinic for follow-up. He stated he feels extremely tired, and has problems remembering things and has to write lists as soon as he thinks of things he needs to do, or he forgets. He takes Metoprolol 100 mg daily, prednisone 5mg daily for inflammation, he is taking chemotherapy at the nearby Cancer Center. He doesn’t remember his cancer meds, but his wife can bring in the list. He has experienced a recent hair loss and dry skin and stated he feels cold all the time. The nurse notes that he is wearing a sweater and it is 80° F outside. The client has periorbital edema and puffiness of the hands and feet, which are cool to touch. The vital signs are T, 97° F; BP, 90/50 mm Hg; HR, 55 beats/minute; RR, 12 breaths/minute. Stools and Urine normal. Lungs clear bibasilar throughout. He also reports a recent steady weight gain, and he eats less food than he did in the past because his appetite is decreased. He asks the RN to explain the reason for the thyroid panel the physician ordered. CBC with Diff, CMP, UA, T3 T4 TSH.

ABNORMAL LABS;

HbG 21.6