A client is complaining of burning and itching of the nipple of the left breast. The nurse should ask the client whether there is any crusting on the breast, and inspect the breast and surrounding area for:
1. a lump under the arm.
2. ulceration near the nipple.
3. edema of the breast.
4. pathological fractures.
Answer: 2
1. The client with early Paget's disease, which the nurse suspects, will not have metastasis to the lymph system.
2. Along with burning and itching, the nurse should inspect for ulceration or erosion of the nipple.
3. Edema of the breast is more characteristic of inflammatory carcinoma of the breast.
4. Pathological fractures occur when carcinoma has metastasized to the bone.
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