The clinic nurse is preparing a client for a physical and breast examination. The nurse notes the client's breast appears as shown in the photograph below. Which action by the nurse takes prior-ity?
a. Continue preparations and note the find-ing in the client's chart.
b. Ask the client how long this problem has been present.
c. Alert the health care provider and prepare to order a mammogram.
d. Question the client about routine drug and alcohol intake.
C
This finding (dimpling of the skin) is suspicious for infiltrating ductal carcinoma. The nurse should alert the provider and prepare to order a mammogram for the client. In addition, the nurse should be prepared to refer the client to a breast specialist. The nurse does need to continue pre-paring the client and document the finding, but this is not as important as the mammogram and referral. Assessment can continue before, during, or after the examination, but is also not as vital as facilitating further diagnostic testing.
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