Which finding in a female client by the nurse would receive the highest priority of further diagnostics?

a. Tender moveable masses throughout the breast tissue
b. A 3-cm firm, defined mobile mass in the lower quadrant of the breast
c. Nontender immobile mass in the upper outer quadrant of the breast
d. Small, painful mass under warm reddened skin


ANS: C
Malignant lesions are hard, nontender, and usually located in the upper outer quadrant of the breast and would be the priority for further diagnostic study. The other lesions are benign breast disorders. The tender moveable masses throughout the breast tissue could be a fibrocystic breast condition. A firm, defined mobile mass in the lower quadrant of the breast is a fibroadenoma, and a painful mass under warm reddened skin could be a local abscess or ductal ectasia.

Nursing

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