A female client who has had a recurrence of breast cancer is prescribed tamoxifen (Nolvadex) therapy. What should the nurse include in the instructions for taking this medication?
1. Stop smoking while taking this medication.
2. This medication will cause chills; dress warmly.
3. Take before meals with orange juice.
4. Maintain a 1500-calorie diet; this medication causes weight loss.
Answer: 1
1. Smoking can increase the risk of thromboembolic events, which are sometimes increased with tamoxifen.
2. The medication does not cause chills.
3. It is not necessary to take it with orange juice.
4. The medication can cause weight gain and fluid retention.
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