Nokea
The nurse is assessing a 25-year-old female patient when the patient becomes tearful. The patient states that she has thin milky discharge from her nipples and two small masses on her left breast. She has lost over 40 pounds in the past year due to intensive exercises and finds that she needs to wear a sports bra during her sessions. The patient states that she is afraid that she will become the first member of her family to have breast cancer. Besides a negative mammogram, what other symptoms would correlate with this being a benign finding? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Milky discharge from nipples. Milky discharge from nipples in a young female with no other concerning symptoms can be indicative of benign conditions such as hormonal imbalances or medication side effects. In this case, the patient's age, weight loss due to exercise, and negative mammogram are all factors that suggest a low likelihood of breast cancer. Extensive weight loss (choice B) is likely attributed to the intensive exercises mentioned and not directly correlated with breast cancer. Painful masses (choice C) could indicate an inflammatory or infection process but are not necessarily indicative of malignancy. Mood swings (choice D) are unrelated to the breast symptomatology described.