The client is prescribed tamoxifen for the treatment of breast cancer. The nurse should advise the client to monitor for which adverse effect?
1. Fatigue
2. Cough
3. Vaginal discharge
4. Signs of dehydration
3
Rationale 1: Fatigue may occur with many types of chemotherapy but is not a particular adverse effect with tamoxifen.
Rationale 2: Cough is not an expected adverse effect of tamoxifen.
Rationale 3: Vaginal discharge is an expected adverse effect of tamoxifen and should be reported to the health care team.
Rationale 4: Rather than dehydration, the client should be monitored for water retention and concentrated urine.
Global Rationale: Vaginal discharge is an expected adverse effect of tamoxifen and should be reported to the health care team. Fatigue may occur with many types of chemotherapy but is not a particular adverse effect with tamoxifen. Cough is not an expected adverse effect of tamoxifen. Rather than dehydration, the client should be monitored for water retention and concentrated urine.
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