The nurse is teaching a 45-year-old woman about her fibrocystic breast changes. Which statement by the client indicates a lack of understanding?

Rationale: A. Fibrocystic breast changes can cause lumpiness, tenderness, and cyst formation, which may make self-examination more challenging. Regular monitoring and familiarity with one’s normal breast texture are important for detecting new changes. B. This shows accurate understanding. Hormonal treatments, such as danazol or oral contraceptives, may be prescribed to reduce symptoms but can have significant side effects, including weight gain, menstrual irregularities, and liver toxicity. C. This is appropriate. Caffeine and other methylxanthines found in coffee, tea, and chocolate can exacerbate breast pain and tenderness; limiting intake may help reduce symptoms. D. This indicates a lack of understanding. Fibrocystic breast changes are benign and noncancerous; they do not increase the risk of breast cancer. However, because the breast tissue may feel lumpy, it is important for the client to perform regular self-examinations and report any new or unusual findings to the healthcare provider for evaluation.