During assessment, the nurse notes a third nipple about 4 inches below the patient's costal margin. What nursing action is indicated?
1. Ask the patient when this nipple appeared.
2. Document this normal variant.
3. Discuss the finding with the health care provider because these nipples are commonly malignant.
4. Look for additional nipples on the patient's back.
2
Rationale 1: Patients are born with this condition.
Rationale 2: Supernumerary nipples are normal variants but should be documented in the medical record.
Rationale 3: This is a benign condition.
Rationale 4: These extra nipples appear down the "milk lines" that run from the axilla across the nipple and down the abdomen to the groin. They are not found on the back.
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