A breastfeeding client presents with a painful, warm nodule in her breast. What is the best recommendation?

The recommendation to order a CBC with differential and an ultrasound is the most appropriate in this scenario because the symptoms described—specifically, a painful, warm nodule in the breast—could indicate the presence of mastitis or possibly a breast abscess. Conducting a complete blood count (CBC) can help assess for signs of infection, such as elevated white blood cell counts, while an ultrasound can evaluate the mass to determine whether it is an abscess that may require drainage or some other intervention.

Assessing the underlying cause of the nodule is crucial in providing the appropriate care and ensuring the continued health and comfort of the breastfeeding client. Prompt evaluation helps to direct treatment, which could include antibiotics for an infection or other necessary interventions.

While suggesting the use of a breast pump in addition to nursing might provide temporary relief and prevent engorgement, it does not address the need for further investigation into the nodule itself. Stopping breastfeeding immediately fails to consider the importance of continued breastfeeding in many cases of mastitis, as milk stasis can exacerbate the condition. Lastly, consulting a lactation specialist is valuable, particularly in managing breastfeeding concerns, but it does not replace the need for a medical evaluation of the nodule, which could signify a more serious