A 14-year-old male patient has not begun puberty. His parents tell the nurse that their son does not want to go to school, because he gets teased. The nurse learns that the boy's father did not begin puberty until age 16 years
Laboratory tests on this child do not reveal true hypogonadism. What will the nurse tell these parents when they ask what can be done for their son? a. "A limited course of androgen therapy may be prescribed, but it is not necessary."
b. "He will eventually begin puberty, so this is nothing to worry about."
c. "He will probably have to receive injec-tions of androgens for 3 to 4 years."
d. "The risk of accelerated growth plate clo-sure is too great to warrant androgen therapy."
A
Although treatment is not required in this patient, the psychologic effects of delayed puberty in-dicate a limited course of androgen therapy. Telling the parents not to worry does not address their concerns. This patient will not be a candidate for long-term androgen replacement therapy. Limited treatment can minimize the risk of epiphyseal closure, especially with close monitoring and radiographs.
You might also like to view...
A patient diagnosed with mania begins lithium therapy on October 1 . What is the earliest date a nurse can expect to see clinical improvement in the patient's condition?
a. October 3 b. October 8 c. October 21 d. November 1
The nurse receives the result of a patient's pulmonary functions tests. The respiratory rate is 14 breaths per minute and the tidal volume is 540 ml. The nurse correctly calculates the client's minute ventilation as:
1. 7560 milliliters/minute. 2. 14 milliliters/minute. 3. 540 milliliters/minute. 4. 32,400 milliliters/minute.
A patient in a psychiatric rehabilitation program says, "I feel so guilty because my family gives me so much and I have so little to give in return.". What is the nurse's most therapeutic reply?
a. "Your family feels good about giving to you.". b. "Remember that, and show them you are grateful.". c. "Following your treatment plan and helping with household tasks are ways you can give back.". d. "You can help most by keeping your feelings to yourself and not burdening the family when you feel upset.".
A patient who has fallen and injured his wrist carefully cradles it with the other hand. The patient is demonstrating which of the following responses to pain?
a. behavioral b. affective c. pysiologic d. involuntary