In examining a 70-year-old male patient, the nurse notices that he has bilateral gynecomastia. Which of the following describes the nurse's best course of action?
a. Recommend that he make an appointment with his physician for a mammogram.
b. Ignore it. Benign breast enlargement in men is not unusual.
c. Explain that this condition may be the result of hormonal changes, and recommend that he see his physician.
d. Explain that gynecomastia in men is usually associated with prostate enlargement and recommend that he be thoroughly screened.
ANS: C
Gynecomastia may reappear in the aging man and may be attributable to a testosterone deficiency.
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Marsha and Clement are both carriers of sickle cell anemia, a disease that is autosomal recessive. Their first child, Amelia, does not have the disease
Marsha and Clement are planning another pregnancy, but they are concerned about their second child having the condition. Clement's father died from complications of sickle cell disease shortly before Amelia was born. Draw a Punnett square to determine the likelihood of Marsha and Clement having a baby with sickle cell anemia. What is the chance the baby will be a carrier of the disease, just like the parents? Marsha suggested to the nurse at the local family planning clinic that if the baby were a boy, he might have a higher risk of developing the disease, just like his grandfather. If you were this nurse, how would you respond? When Amelia, who does not have sickle cell anemia, grows up and marries someone who does have the disease, how likely will her children have the disease?
After completing an assessment, the nurse is concerned that a middle-aged patient is at risk for having a chronic illness later in life. What did the nurse assess in this patient? Select all that apply.
1. Has a blood pressure reading of 150/90 2. Goes out with friends for a drink once per week 3. Smokes 1 pack of cigarettes per day for the last 25 years 4. Has a history of lower back pain 5. Works as a laboratory technologist
The school nurse is discussing dietary concerns with student members of the track team. Which of the following statements indicates the need for further instruction? Standard Text: Select all that apply
1. "There are no differences in the percentage of body fat needed by girls and boys during the teen years." 2. "The lower I can get my body fat percentage, the better." 3. "The body fat percentages needed by females is higher than that of males." 4. "There are no absolute standards for body fat percentages needed by men and women." 5. "Persons having body fat percentages greater than 20% are at an increased risk for illness."
A family joins a local health facility and participates in weekly sports activities designed for children and adults. This activity is an example of
a. health restoration c. disease prevention b. health maintenance d. health promotion