While performing a self-breast exam, the client notes an area on the right breast that is nodular, with some associated tenderne
ss. 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.
Answer: the correct option is 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).
Explanation:
Self-breast examination is a procedure that an individual carries out on the breast to examine if there are any physical or visual changes. The following changes are looked out for: changes in size, feeling a palpable lump, dimpling or puckering of the breast, inversion of the nipple, redness or scaliness of the breast skin, redness or scaliness of the nipple/areola area, or discharge of secretions from the nipple.
Depending on the menstral cycle, the breast usually appears to be tender and nodular 7 to 10 days after menstral period. Therefore the client should be advised to come to the office for validation since her findings may be of normal range of presentation.
