The nurse is assessing the skin of an adolescent client and notes the presence of a musky odor. The client states that this is embarrassing for him and that he showers daily. Which action should the nurse take in this situation?
1. Reassure the teen that this is normal.
2. Notify the client's healthcare provider.
3. Obtain a dietary referral.
4. Educate the client regarding the importance of increased water intake.
Correct Answer: 1
The apocrine glands are dormant until the onset of puberty, when they become active and produce secretion of water, salts, fatty acids, and proteins. This secretion is released into hair follicles primarily in auxiliary and anogenital areas, and when mixed with bacteria on skin surface produces a musky odor. This is a normal part of normal growth and development. The teenage client's healthcare provider does not need to be notified because this odor is associated with normal growth and development. The nurse does not need to obtain a dietary referral because this odor is associated with normal growth and development. Increasing fluid intake will not help prevent the occurrence of this odor. It is a normal part of normal growth and development.
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