A menopausal woman comes to the clinic with complaints of thin, ...

[Awilson837]

A menopausal woman comes to the clinic with complaints of thin, watery nipple discharge with blood present. Based on this data, which disorder does the nurse suspect?
 
  1. Mammary duct ectasia.
  2. Fibrocystic disease.
  3. Breast malignancy.
  4. Intraductal papillomas.

Question 2

During the breast examination on a client, the nurse palpates a small, subclavicular node on the right side of the client's chest. Which is the priority nursing action at this time?
 
  1. Call the primary care provider.
  2. Ask the client if they have a family history of breast cancer.
  3. Continue with the exam.
  4. Schedule a mammogram for the next available appointment.

[Jordin Calloway]

Answer to Question 1

Correct Answer: 4
Intraductal papillomas are the primary cause of nipple discharge in women who are not pregnant or lactating and are more commonly found in menopausal women. Fibrocystic disease is first seen when women are in their twenties, and discharge may be straw-colored, clear, milky, or green. Discharge associated with mammary duct ectasia is thick and sticky. Malignancy that affects the nipple must be correlated with other physical findings, mammogram, and biopsy.

Answer to Question 2

Correct Answer: 3
Usually nodes are nonpalpable, but subclavicular nodes must be assessed as part of the examination. It would be important for the nurse to complete the exam in order to document size and location of any and all palpable masses. Documentation of the client's report to corroborate findings is also important. Reporting these findings in completeness to the primary care provider would be the next step, and any further follow-up would be determined by that provider, along with the client's input.

[Awilson837]

Thank you

[Jordin Calloway]

Happy to help you