A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?

Choice A reason:
Urinary retention is not commonly reported as an adverse effect of tamoxifen. While urinary symptoms can occur, they are not as prevalent as other side effects such as hot flashes or mood changes.

Choice B reason:
Hot flashes are a well-documented adverse effect of tamoxifen. They occur due to the antiestrogenic effects of the medication, which can mimic menopausal symptoms, including hot flashes. Tamoxifen is a medication used to treat breast cancer and is known to cause several adverse effects. Based on the information provided by reliable health sources, hot flashes are a common side effect experienced by patients taking tamoxifen

Choice C reason:
Constipation is not typically listed as a common adverse effect of tamoxifen. Gastrointestinal symptoms may occur, but they are more often related to nausea or vomiting rather than constipation.

Choice D reason:
Tinnitus, or ringing in the ears, is not a recognized common adverse effect of tamoxifen. While patients may experience a range of side effects, tinnitus is not frequently associated with the use of tamoxifen.

Choice A reason:
Disinfecting equipment contaminated with blood or body fluids is crucial to prevent the spread of infection, but the specific time frame of twenty-four hours is not standard practice. The Centers for Disease Control and Prevention (CDC) recommends cleaning and then disinfecting surfaces or objects that may be contaminated, using a disinfectant registered by the Environmental Protection Agency (EPA) and following the manufacturer's instructions for use.

Choice B reason:
Burning soiled dressings is not a recommended practice due to environmental concerns and potential health risks associated with burning medical waste. Instead, soiled dressings should be disposed of properly in accordance with local regulations for biohazardous waste.

Choice C reason:
Good household cleaning practices are essential for preventing the spread of infection, especially for individuals with compromised immune systems, such as those with AIDS. Regular cleaning and disinfecting of frequently touched surfaces can help reduce the risk of infection.

Choice D reason:
The statement "Food preparation is not your responsibility" is not an appropriate discharge instruction. Patients with AIDS should be informed about safe food handling practices to prevent foodborne illnesses, which they are at higher risk for due to their weakened immune systems.