During a focused assessment, the female client reports breast tenderness, swelling, and lymph node enlargement around the time of her period. Which response by the nurse is the most appropriate?
1. "This sounds like a condition known as nodularity. It is a benign disorder so you will need to monitor your breasts monthly."
2. "Fluctuating hormone levels around the time of your period frequently causes these symptoms. I will note this in your chart and notify your primary care provider."
3. "As long as you have not detected any lumps you have nothing to worry about."
4. "Do you have a history of fibrocystic breast disease? These symptoms are usually seen with this disease."
Correct Answer: 2
"Fluctuating hormone levels around the time of your period frequently causes these symptoms. I will note this in your chart and notify your primary care provider" is the best response since these are typical symptoms associated with the fluctuation of hormone levels during menses, but should still be reported. Nodularity is a benign condition, but the client does not mention any nodules being present. Stating "As long as you have not detected any lumps you have nothing to worry about," may lead the client to feel that complaints are not justified unless lumps are present. Fibrocystic breast disease is seen with fluctuation of hormone levels with menses but typically has several other symptoms in addition to breast pain, including bilateral masses upon palpation that feel soft, well demarcated, and freely movable, and clear, straw colored, milky, or green discharge from the nipples.
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