Which patient statement indicates that the nurse's teaching about tamoxifen (Nolvadex) has been effective?
a. "I can expect to have leg cramps."
b. "I will call if I have any eye problems."
c. "I should contact you if I have hot flashes."
d. "I will be taking the medication for 6 to 12 months."
ANS: B
Retinopathy, cataracts, and decreased visual acuity should be immediately reported because it is likely that the tamoxifen will be discontinued or decreased. Tamoxifen treatment generally lasts 5 years. Hot flashes are an expected side effect of tamoxifen. Leg cramps may be a sign of deep vein thrombosis, and the patient should immediately notify the health care provider if pain occurs.
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