A very concerned 14-year-old boy presents to the clinic because of an enlargement of his left breast. Except for the breast enlargement, the rest of the history and physical was reported as normal
The most appropriate intervention for the nurse to implement next would be to inform the child that: 1. A pediatric endocrine consult is being arranged.
2. The health practitioner is arranging a surgical consult for him.
3. This is a normal finding in adolescent males, and that the breast tissue generally regresses by the time of full sexual maturity.
4. His condition is related to a high-fat diet, and that limiting fat intake usually will resolve the enlargement over a period of a couple of months.
3
Rationale:
1. This is a normal finding, and an endocrine consult is not required.
2. There is no reason for a surgical consult, as this is normal for adolescent males.
3. Gynecomastia, or breast enlargement, is a normal finding in adolescent males as they develop toward sexual maturity.
4. The breast enlargement is not related to fat content, but is normal in developing adolescent males.
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