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    ATI NURS 190 Physical Assessment Proctored Exam

    During the breast examination of a client, the nurse notes an orange-peel or "peau d'orange" appearance of the skin of the breast.The nurse understands that this appearance of the skin is due to what type of breast condition?

    Explanation & Rationale

    Choice A rationaleFibrocystic lesions in the breast are benign changes that involve the formation of cysts and fibrous tissue. These do not typically cause an orange-peel appearance of the skin.Choice B rationaleA normal finding of the breast would not include an orange-peel or "peau d'orange" appearance, as this is considered an abnormal change often associated with underlying pathology.Choice C rationaleCarcinoma of the breast can lead to an orange-peel appearance of the skin due to lymphatic obstruction. This dimpling effect is caused by the cancerous infiltration and thickening of the skin, making this the correct answer.Choice D rationaleFibroadenoma is a benign tumor of the breast and does not usually cause the skin changes described as orange-peel appearance. This condition is generally not associated with skin texture changes.

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