Comprehensive Nursing Pharmacology Q 196



The client with ovarian cancer is receiving Tamoxifen (Nolvadex). Which of the following indicates a side effect specific to this medication?
  
     A. Weak and brittle nails
     B. Facial twitching
     C. Convulsions
     D. Constipation
    
    

Correct Answer: D. Constipation

Tamoxifen (Nolvadex) is an antineoplastic medication that may increase calcium levels. Signs of hypercalcemia include constipation, abdominal pain, hypotonicity of muscle, nausea, and vomiting.

Options A, B, & C: These are signs of hypocalcemia.