Question

the nurse is assessing a 50 - year - old clients breasts and observes a spontaneous discharge of fluid from the left nipple. the nurse should

1. determine whether the client wears a supportive bra.
2. ask the client if they have had retracted nipples.
3. refer the client for a cytology examination.
4. document this as a normal finding.

Explanation:

Spontaneous nipple discharge in a 50 - year - old client may be a sign of underlying pathology. A cytology examination can help determine if there are abnormal cells. Wearing a supportive bra or having retracted nipples are not the most appropriate next - steps. Spontaneous discharge is not a normal finding.

Answer:

C. refer the client for a cytology examination