Your male patient is 456 pounds and complains of erectile dysfunction. On physical examination, you note gynecomastia, decreased pubic, facial, and axillary hair, as well as atrophic testes. This is due to:
A. Vascular disease that affects the testes
B. Conversion of testosterone in fatty tissue to estradiol
C. Androgen resistance of fatty tissue
D. All of the above
ANS: B
Obesity can lead to the aromatization of testosterone in fatty tissue to estradiol, leaving lowered amounts of testosterone available for maintenance and virilization functions. The patient is a clinically obese male, with possible evidence of feminization or regression of secondary male sex characteristics found on physical examination. Testosterone and free testosterone levels, along with estradiol, LH, and FSH levels, should be done. Routine referral to an endocrinologist or urologist, preferably one with expertise in male infertility (if this is an issue) and andrology, is recommended.
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3 tsp = __________
Fill in the blank(s) with correct word
An intoxicated client is admitted through the emergency department after being found passed out on the sidewalk in a temperature of 33°C. What would be an appropriate nursing diagnosis for this client?
A) Risk for injury B) Ineffective family coping C) Excessive and ineffective denial of problem D) Sleep pattern disturbance
The intravenous infusion line infiltrates on a child who is terminally ill, and his mother tells you that the nursing care in this hospital is the worst she has ever seen. What is your best response to her?
A) "Tell me with what you are comparing the care here." B) "You seem angrier today than before. Is something going on?" C) "I think you should talk to a nursing supervisor." D) "You're right, but we're trying to improve."
Which behavior best demonstrates aggression?
a. Stomping away from the nurses' station, going to the hallway, and grabbing a tray from the meal cart. b. Bursting into tears, leaving the community meeting, and sitting on a bed hugging a pillow and sobbing. c. Telling the primary nurse, "I felt angry when you said I could not have a second helping at lunch." d. Telling the medication nurse, "I am not going to take that, or any other, medication you try to give me."