An older adult female has been given instructions concerning an endocrine assessment the nurse will be conducting. Which statement by the patient would indicate that further instruction is necessary?
1. "Because I am already past menopause, there will be no need for a breast exam in this assessment.".
2. "The nurse will look at my skin, nails, and hair."
3. "I'll be sure to let the nurse know that diabetes runs in my family."
4. "The nurse will palpate my throat in the front."
1
Rationale 1: The breast tissue of all patients, male and female, should be examined as part of the endocrine assessment.
Rationale 2: The endocrine assessment does include inspection of the skin, nails, and hair
Rationale 3: Diabetes mellitus is an endocrine disorder that appears to have some degree of family connection, so the patient is correct in providing this information.
Rationale 4: Palpation of the thyroid gland is part of the endocrine assessment.
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