The action the nurse should include in the client's plan of care who is receiving tamoxifen (nolvadex) for the treatment of breast cancer is to help the client cope with hot flashes
Tamoxifen, a selective estrogen receptor modulator, is a form of hormonal therapy (SERM). The medication binds to breast cancer cells' hormone receptors (specific proteins). Once the drug is within the cells, it prevents cancer from getting access to the hormones it needs to proliferate and develop.
Tamoxifen prevents estrogen from binding to the receptor, which prevents the cancer cell from receiving signals from estrogen that would otherwise cause it to grow and reproduce. Hot flashes, exhaustion, an elevated risk of blood clots, and endometrial cancer are some of the side effects that this drug may cause.
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Adults—0.1 milligram (mg) two times a day, taken in the morning and at bedtime. Your doctor may adjust your dose as needed. The usual dose is 0.2 mg to 0.6 mg per day, divided and given two times a day.
Answer:
2.2 billion people
Explanation:
Some 2.2 billion people around the world do not have safely managed* drinking water services, 4.2 billion people do not have safely managed sanitation services, and 3 billion lack basic** hand washing facilities.
