An adolescent female client comes to the clinic troubled by breast tenderness before her menstrual periods. On examination, the nurse notes generalized lumpiness of both breasts with no discrete masses and no nipple discharge. Which action should the nurse take?

A. While an ultrasound may be indicated if discrete masses were present or if the lumpiness persisted after menstruation, it is not necessary in this scenario where generalized lumpiness is common before menstruation. B. Although breast tenderness and lumpiness are often normal findings related to the menstrual cycle, the nurse should not dismiss the client’s concerns without follow-up. Annual evaluations are important, but this does not address the immediate concern. C. Mammography is generally not recommended for adolescent clients due to the density of breast tissue and the typical benign nature of breast changes in this age group. D. Rechecking the breast exam after the client’s menstrual period is appropriate because the lumpiness and tenderness are likely related to hormonal changes and may resolve after menstruation. This approach helps differentiate normal cyclic changes from potential abnormalities.