A male patient is concerned about a recent increase in breast ...

[jayhills49]

A male patient is concerned about a recent increase in breast tissue. What should the nurse do to assist this patient?
 
  1. Review the patient's health history.
  2. Tell him that it is self-limiting and will go away in time.
  3. Suggest that the patient have a mammogram to ensure he does not have breast cancer.
  4. Recommend a breast biopsy to find out the reason for the increase in breast tissue.

Question 2

A patient is diagnosed with benign prostatic hypertrophy. The nurse realizes that this patient's blood pressure should be closely measured to determine what?
 
  1. whether the patient can tolerate doxazosin mesylate (Cardura)
  2. whether surgery is indicated
  3. the volume of urine being retained in the bladder
  4. the dose of finasteride (Proscar)

[tennis14576]

Answer to Question 1

Correct Answer: 1
Any condition that increases estrogen activity or decreases testosterone production can contribute to gynecomastia. Conditions that increase estrogen activity include obesity, testicular tumors, liver disease, and adrenal carcinoma; conditions that decrease testosterone production include chronic illness such as tuberculosis or Hodgkin' disease, injury, and orchitis. Drugs such as digitalis, opiates, and chemotherapeutic agents are also associated with gynecomastia. Dismissing the patient's concerns is not therapeutic and until further evaluation is completed this could be potentially dangerous. Gynecomastia is usually bilateral. If it is unilateral, biopsy may be necessary to rule out breast cancer.

Answer to Question 2

Correct Answer: 1
Excessive smooth muscle contraction in benign prostatic hypertrophy (BPH) may be blocked with the alpha-adrenergic antagonists such as doxazosin mesylate (Cardura). This medication relieves obstruction and increases the flow of urine. It may cause orthostatic hypotension. The use of surgical intervention to manage BPH is not determined by monitoring blood pressure. The volume of urinary residual does not have bearing in this question. Finasteride (Proscar) does not impact blood pressure.

[jayhills49]

TYSM

[Joy Chen]

Excellent