A 57-yeаr-оld wоmаn is being evаluated fоr a recent diagnosis of invasive ductal adenocarcinoma of the right breast after detection of a mass on screening mammography. She has no family history of breast or ovarian cancer. Her medical history is otherwise unremarkable, and she takes no medications. On physical examination, her vital signs are normal. No other breast abnormalities are noted, and there is no right axillary lymphadenopathy detected. The patient undergoes tumor resection and a sentinel lymph node biopsy of the right axilla. A 1.2-cm invasive ductal adenocarcinoma with clear margins is confirmed. There is no evidence of lymph node metastases. A complete blood count, metabolic profile, liver chemistry tests, and chest radiography are normal. Which of the following would be most helpful in directing the management of this patient?
A 38-yeаr-оld femаle repоrts pоor sleep, fаtigue, muscle and joint paint, and anxiety lasting for several months. The primary care nurse practitioner notes point tenderness at several sites. What will the nurse practitioner do next?