Question

A client calls the clinic and reports a fever, fatigue, and has a hard, reddened area in one breast. The client is breastfeeding. Which condition does the nurse understand that this client is most likely experiencing?

a) Mastitis
b) Engorgement
c) Plugged duct
d) Breast abscess

Answer 1

The client with symptoms of fever, fatigue, and a hard, reddened area in the breast while breastfeeding is most likely experiencing mastitis.

Step-by-step explanation:

The symptoms described by the client, which include a fever, fatigue, and a hard, reddened area in the breast, are indicative of mastitis, a condition that is commonly associated with breastfeeding. Mastitis is an inflammation of the breast tissue that often involves an infection. The condition can result in breast pain, swelling, warmth, fever, chills, and general malaise. Unlike simple engorgement, which is just the fullness of the breasts with milk, or a plugged duct, which tends to be less severe and associated with a localized hard lump without systemic symptoms, mastitis presents with systemic symptoms and usually requires medical attention. A breast abscess, which is a complication of untreated or severe mastitis, generally features a collection of pus within the breast tissue. However, since the description does not explicitly mention pus, mastitis is the most likely condition at this stage.

The final answer in two line explanation in 300 words: Based on the symptoms of fever, fatigue, and a hard, reddened area on the breast, reflecting signs of inflammation and potential infection, the client is most likely experiencing mastitis. This condition typically necessitates a visit to a healthcare provider for appropriate diagnosis and treatment.