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 client's history and physical are normal
The most appropriate intervention for the nurse to implement next would be to inform the child that: 1. This is a normal finding in adolescent males and that the breast tissue generally regresses by the time of full sexual maturity.
2. 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. A pediatric endocrine consult is being arranged.
4. The healthcare provider is arranging a surgical consult for him.
1
Rationale 1: Gynecomastia, or breast enlargement, is a normal finding in adolescent males as they develop toward sexual maturity.
Rationale 2: The breast enlargement is not related to fat content but is normal in developing adolescent males.
Rationale 3: This is a normal finding, and an endocrine consult is not required.
Rationale 4: There is no reason for a surgical consult, as this is normal for adolescent males.
Global Rationale:
You might also like to view...
The patient is receiving lithium (Eskalith) and asks the nurse why he has to have blood drawn so often. What is the best response by the nurse?
1. "To detect side effects before they become a problem." 2. "To be sure the medication is working properly." 3. "To determine if your body is responding as it should." 4. "To be sure you have the correct amount of medication in your system."
Erythroblastosis fetalis is defined as an = Hemolytic disease of the newborn
a. Allergic disease in which maternal blood and fetal blood are antigenically incompatible b. Alloimmune disease in which maternal blood and fetal blood are antigenically incompatible c. Autoimmune disease in immature nucleated cells that are released into the bloodstream d. Autosomal dominant hereditary disease
Which scenario places a toddler at risk for injury?
a. Toddler playing with his preschool siblings toy b. Mop and a bucket of clean water in the kitchen c. Cup of hot coffee on the kitchen counter d. Twenty-five pound toddler sitting in a forward-facing car seat in the back seat of a car
The nurse should include which statement when teaching a patient about insulin glargine [Lantus]?
A. "You cannot mix this insulin with any other insulin in the same syringe." B. "You should inject this insulin just before meals because it is very fast acting." C. "You can mix this insulin with neutral protamine Hagedorn (NPH) insulin to enhance its effects." D. "The duration of action for this insulin is approximately 8 to 10 hours, so you will need to take it twice a day."