During a breast examination, which finding should a nurse report that suggests a potential issue?

Dimpling of the tissue in the upper outer quadrant of the breast can be indicative of an underlying issue, such as a mass or tumor that is pulling on the connective tissue and altering the normal contour of the breast. This finding suggests the potential presence of conditions like breast cancer, as the skin may appear to be tethered or pulled inward. Thus, it is crucial for a nurse to report this finding to ensure further evaluation and necessary diagnostic procedures can be initiated promptly.

The other findings listed, such as silver-colored striae, unilateral nipple inversion present since menarche, and visible symmetrical venous patterns, are often considered normal variations or findings that are not necessarily concerning in the context of breast health. Silver-colored striae may occur due to rapid stretching of the skin, nipple inversion that has been consistent since menarche often does not indicate a pathological change, and symmetrical venous patterns can be completely normal in breast anatomy. Understanding these distinctions is vital for nursing assessments, guiding further examination and care decisions.