A patient taking tamoxifen for breast cancer reports sudden swelling and pain in one calf. What should the nurse do first?
Correct answer: C. Assess urgently for possible deep-vein thrombosis
- A. Advise walking to improve venous circulation
- B. Massage the calf until the discomfort improves
- C. Assess urgently for possible deep-vein thrombosis
- D. Reassure the patient that this is a usual drug effect
Explanation
Tamoxifen increases the risk of venous thromboembolism, so unilateral calf pain and swelling require urgent assessment. Massaging the limb or encouraging walking could dislodge a clot, and the finding should not be treated as an expected harmless effect.
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Covers cancer biology, tumour staging, common malignancies and nursing care during surgery, chemotherapy, radiotherapy, immunotherapy and palliative treatment. It includes managing nausea, pain, fatigue, mucositis, neutropenia and extravasation, while distinguishing expected treatment effects from dangerous complications requiring urgent action.
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