During a breast self-examination teaching session, which client comment would concern the nurse the most?

The concern raised by the comment about the right breast feeling thicker and appearing larger than the left is particularly significant during a breast self-examination teaching session. This statement suggests a potential asymmetry that is now prominent or changing, which is not typical for many women. Variations in breast size and texture can occur naturally, but sudden changes or feelings of thickness or lumps might indicate underlying issues that warrant further investigation, including the possibility of benign or malignant conditions.

Breast self-examination is crucial for early detection of any abnormalities, and any new or unusual changes, especially those that describe a noticeable alteration in texture or density, should be evaluated by a healthcare professional. The presence of a lump, thickening, or other irregularities could suggest the need for diagnostic imaging or further examination to rule out breast cancer or other health concerns.

Other comments regarding natural variations due to size, engorgement during the menstrual cycle, or lumpiness are typically associated with hormonal changes and are more common among menstruating individuals, suggesting they are less concerning compared to a noticeable new change.