The nurse is caring for a client taking tamoxifen which statement is concerning abd priority to report to doc

Tamoxifen is a medication commonly used in the treatment of breast cancer, and it can have various side effects and interactions. When monitoring a client taking tamoxifen, the following statements may be concerning and warrant priority reporting to a doctor:

**Signs of Blood Clots**: If the client reports sudden swelling, pain in the leg, or signs of a pulmonary embolism (such as shortness of breath, chest pain, or coughing up blood), these symptoms could indicate a serious complication that requires immediate medical attention.

**Vision Changes**: Reports of blurred vision or any visual disturbances could signal potential issues like cataracts or other eye problems associated with tamoxifen.

**Severe Hot Flashes or Mood Changes**: While hot flashes are a common side effect, if they are severe or accompanied by significant mood changes (like depression or anxiety), this may warrant further evaluation.

**Jaundice or Hepatic Symptoms**: The development of jaundice (yellowing of the skin or eyes), severe abdominal pain, or any signs of liver abnormalities should be reported immediately.

**Menstrual Changes**: Unexpected bleeding or changes in menstrual cycles can also be a concern and should be discussed with a physician.

Given all of these potential side effects, if the client expresses concerns or experiences symptoms related to any of these issues, it is essential to report them to the healthcare provider for further assessment and management. Always prioritize symptoms that suggest serious complications, especially those indicating thromboembolic events or liver dysfunction.