A female client who has had a recurrence of breast cancer is prescribed tamoxifen (Nolvadex) therapy. What would the nurse include in the instructions for taking this medication?

A)

Take before meals with orange juice.
B)

Medication will cause chills; dress warmly.
C)

Stop smoking while taking this medication.
D)

Maintain a 1,500-calorie diet; medication causes weight loss.


C
Explanation:

A)

Smoking can increase the risk of thromboembolic events, which are sometimes increased with tamoxifen. The medication may cause weight gain and fluid retention. It is not necessary to take it with orange juice and it does not cause chills.
Application
Implementation
Physiological Integrity: Pharmacological and Parenteral Therapies
B)

Smoking can increase the risk of thromboembolic events, which are sometimes increased with tamoxifen. The medication may cause weight gain and fluid retention. It is not necessary to take it with orange juice and it does not cause chills.
Application
Implementation
Physiological Integrity: Pharmacological and Parenteral Therapies
C)

Smoking can increase the risk of thromboembolic events, which are sometimes increased with tamoxifen. The medication may cause weight gain and fluid retention. It is not necessary to take it with orange juice and it does not cause chills.
Application
Implementation
Physiological Integrity: Pharmacological and Parenteral Therapies
D)

Smoking can increase the risk of thromboembolic events, which are sometimes increased with tamoxifen. The medication may cause weight gain and fluid retention. It is not necessary to take it with orange juice and it does not cause chills.
Application
Implementation
Physiological Integrity: Pharmacological and Parenteral Therapies

Nursing

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