When gathering breast history information on a client, the client states that she has noticed a few drops of clear discharge from her nipples over the past few months. Which of the following actions is most appropriate in this situation?
A. Notify the health care provider. B. Document the presence of the discharge. C. Ask additional history questions about the discharge and medications she is currently taking. D. Refer the client for a mammogram.
Ask additional history questions about the discharge and medications she is currently taking.-nipple discharge from medications is usually clear. this discharge is bilateral. unilateral nipple discharge would be of more concern and perhaps be caused by an intraductal papilloma or cancer. more information needs to be obtained before determining whether to notify the health care provider. the nurse would document the presence of the discharge; however, more information needs to be obtained regarding the discharge. referral for a mammogram is not indicated at this time.
nursing process step: implementation
cognitive level: application
client need: physiological integrity