The nurse notes bilateral enlargement of the breasts during examination of a 62-year-old man. Which action should the nurse take first?
a. Teach the patient how to palpate the breast tissue for lumps.
b. Question the patient about medications being currently used.
c. Refer the patient for mammography and biopsy of the breast tissue.
d. Explain that this is a temporary condition due to hormonal changes.
ANS: B
The first action should be further assessment. Because gynecomastia is a possible side effect of drug therapy, asking about the current drug regimen is appropriate. The other actions may be needed, depending on the data that are obtained with further assessment.
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