A family practice nurse is providing anticipatory guidance to an 11-year-old boy. What information about puberty should the nurse plan to include?

A.
Boys start puberty about 2 years earlier than girls.
B.
Circulating estrogen may cause breast enlargement.
C.
Testosterone production is the last stage of puberty.
D.
The first sign of puberty is testicular enlargement.


ANS: D
Testosterone secretion causes testicular enlargement, which is the first sign of pubertal changes in males. Girls start puberty about 2 years earlier than boys. Testosterone production causes the first signs of puberty, so saying that this is a late occurrence is incorrect. Breast enlargement usually does not occur in males despite the presence of circulating estrogen.

Nursing

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The nurse in the dermatology clinic is assessing a 39-year-old woman who has presented at the clinic with a lesion on her left inner thigh

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The nurse assesses a client in the local neighborhood clinic. He exhibits signs and symptoms of tuberculosis (TB) yet has a negative tuberculin skin test result. The nurse suspects that the physician may further test the client because he:

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A woman complains of bladder urgency. It is most important to assess

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