A client with advanced breast cancer is prescribed tamoxifen (Nolvadex). When teaching the client about this drug, the nurse should emphasize the importance of reporting which adverse reaction immediately?

Correct Answer: A

Rationale: Tamoxifen (Nolvadex) is associated with the potential side effect of retinopathy, which can present as changes in vision. Retinopathy is a serious condition that can lead to vision loss. Therefore, it is crucial for the client to report any vision changes immediately to their healthcare provider for further evaluation and management. Reporting this adverse reaction promptly can help prevent serious complications and ensure the client's safety and well-being.

Correct Answer: B

Rationale: Taking NSAIDs with meals or a snack can help reduce the risk of stomach irritation and ulcers that are commonly associated with these medications. Food can help protect the stomach lining from the irritating effects of NSAIDs. It is important for the adult to follow this instruction to minimize any potential gastrointestinal side effects. Taking NSAIDs with meals also helps with the absorption of the medication into the bloodstream, ensuring its effectiveness.

Correct Answer: B

Rationale: A small triangular chin is not a typical risk factor for obstructive sleep apnea, whereas retroposition of the mandible, long face, and soft palate abnormalities contribute to airway obstruction.

Correct Answer: A

Rationale: This milestone is typically achieved around 4 months.

Correct Answer: C

Rationale: The steeple sign is a characteristic radiological feature of acute laryngotracheobronchitis (croup). It results from subglottic airway narrowing, visible on anteroposterior neck X-rays as a tapering of the trachea.