Final answer:
The nurse should report skin dimpling or puckering to the provider.
Step-by-step explanation:
A nurse conducting a breast examination on a client with a family history of breast cancer should report skin dimpling or puckering to the provider. Skin dimpling or puckering is a clinical sign that may indicate an underlying breast abnormality, such as breast cancer. Other changes that should be reported include unusual bleeding or discharge, thickening or lump in the breast or elsewhere, and persistent coughing or hoarseness.