The nurse is performing an assessment of a female patient's breasts. Which findings indicate the need for further assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. One breast is shaped differently from the other.
2. The breasts do not display prominent veins.
3. The nipples are a light tan in color.
4. There is clear discharge from one nipple.
5. There is an area of dimpled skin on one breast.
1,4,5
Rationale 1: Changes in contour may be revealed as a shape difference and should be further evaluated.
Rationale 2: The absence of prominent veining is normal.
Rationale 3: The nipple color may range from pink to brown.
Rationale 4: Nipple discharge should be further evaluated.
Rationale 5: Dimpling and abnormal contours should be further evaluated.
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A. Fluid retention B. Muscle spasms C. Fractures D. High cholesterol E. Depression