During a physical examination,a 45-year-old woman states that she has had a crusty,itchy rash on her breast for about 2 weeks.In trying to find the cause of the rash,which of these would be important for the nurse to determine?

Question

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It is important for the nurse to determine where the rash first appeared.Paget's disease starts with a small crust on the nipple apex and then spreads to the areola.Eczema or other dermatitis rarely starts at nipple unless it results from breastfeeding.It usually starts on the areola or surrounding skin and then spreads to the nipple.See Table 17-6.

During a Physical Examination,a 45-Year-Old Woman States That She Has