While performing a self-breast exam, the client notes an area on the right breast that is nodular, with some associated tenderness. This is a new onset finding because the exams were not problematic in the past,
The left breast examination is unremarkable. The client calls to report her findings to the clinical nurse because this is not her typical result. What action should the nurse take next?
a. Refer the client to an oncologist because the results sound suspicious.
b. Ask the client to come in for an office visit so that the findings can be validated but tell her that this information is within the normal range of presentation.
c. Have the client wear a tight-fitting bra and tell her that the tenderness is associated with ovulation and will pass.
d. Have the client repeat the self-breast exam in 2 weeks and call back with findings to provide a basis for comparison.
ANS: B
Although these findings are within the normal range of presentation for breast tissue, they are not in the normal presentation for this client. The client has called to express concern; therefore, the nurse should have the client schedule an appointment for assessment and evaluation. There is no need for referral to a specialist at this time. Wearing a tight fitting bra may help provide support but does not address the physical findings and concern of the client. Repeating the self-breast exam may be required but it does not address the client's current concerns; therefore, the client should be seen by a health care provider.
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