A patient who has breast cancer is being treated with tamoxifen. Which statement indicates that the patient has understood the nurse's instruction regarding this medication?
1. "I should avoid over-the-counter pain relievers while taking tamoxifen.".
2. "I will report any swelling in my legs or shortness of breath.".
3. "I will avoid eating green, leafy vegetables while taking tamoxifen.".
4. "I will sleep with my head on two pillows while taking tamoxifen.".
2
Rationale 1: Discomfort may occur as the tumor responds to tamoxifen. The patient should be taught to take analgesics, including over-the-counter products, if this occurs.
Rationale 2: Adverse effects of tamoxifen include deep vein thrombosis and pulmonary embolism.
Rationale 3: There is no indication that ingestion of green, leafy vegetables is contraindicated when taking tamoxifen.
Rationale 4: It is not necessary for the patient to sleep on two pillows while taking tamoxifen.
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