Breast, Axillae and Regional Lymphatics Case Study Ms. Darden is a 27-year-old woman who presents to the gynecologist’s

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Breast, Axillae and Regional Lymphatics CaseStudy
Ms. Darden is a 27-year-old woman who presents to thegynecologist’s office for her yearly check-upcomplaining of bilateral breast pain and tenderness. Her lastmenstrual period was 18 days ago. Shedescribes her pain as dull and reports that her breasts feel heavyand tender. When asked about healthpromotion activities, Ms. Darden stated that she performs monthlybreast exams. Physical examination findingsreveal the following: Breasts moderate size, evenly pigmented,bilaterally symmetric, and hang equallywith smooth contour. Venous patterns bilaterally similar. Breastsfirm, smooth, elastic withouttenderness, lumps, or nodules. Areolae round, nipples protruding,symmetric, soft, pliable, smooth, andintact without discharge. Axillary lymph nodes are notpalpated.
Things to consider:1. What other questions should the nurse ask about the breastpain?2. What are some of the causes of breast pain?3. What should the nurse include in the problems list from theobjective and subjective data gathered?4. What should the nurse include in the plan of care?5. Based on the readings and the subjective and objective data,what is the most likely cause of breastpain for Ms. Darden?
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