During a routine physical assessment, the nurse obtaining a health history notes that a 50-year-old female patient reports pain and redness in the right breast. What is the nurse's best action in response to this finding?
a. Explain to the patient that breast tenderness is normal at her age.
b. Tell the patient that redness is not a cause for concern and is quite common.
c. Assess the patient as thoroughly as possible.
d. Inform her that redness is the precursor to normal unilateral breast enlargement.
ANS: C
A comprehensive assessment offers direction for health promotion recommendations, as well as for planning and implementing any acutely needed intervention. Redness or painful breasts are abnormal physical assessment findings in the middle adult. Increased size of one breast is an abnormal physical assessment finding in the middle adult.
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