The nurse is performing a breast examination on a 22-year-old female patient and notes that the nipples are pointing in different directions. What action is indicated?
1. The findings should be documented as normal.
2. The nurse will need to question the patient to determine if she is breastfeeding.
3. The finding will need to be reported for follow-up hormone level assessments.
4. The finding will need to be reported for further testing to rule out a malignancy.
Correct Answer: 4
The nipples should point in the same direction. Asymmetry in direction may indicate the presence of a malignancy. This finding is not normal. Breastfeeding would not affect the direction in which the nipples point. Hormone levels may be associated with nipple discharge but not with asymmetry in their direction.
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