A nurse is assessing a client who presents to the providerÔÇÖs office for evaluation of multiple nevi. Which of the following findings should the nurse report to the provider as a possible sign of malignancy?

The correct answer is B: Irregular borders. Irregular borders are a classic sign of malignancy in nevi, suggesting potential melanoma. This finding indicates that the nevus may be evolving into a cancerous lesion. It is crucial for the nurse to report this to the provider promptly for further evaluation. Intense pruritus (choice A) is common in benign nevi and not specific to malignancy. Uniform pigmentation (choice C) is typically seen in benign nevi and is not a concerning feature. Purulent drainage (choice D) is more indicative of infection or inflammation rather than malignancy. In summary, irregular borders are a red flag for malignancy, while the other choices are more likely associated with benign nevi or other conditions.