In examining a 70-year-old male patient, the nurse notices that ...

[Mr.Thesaxman]

In examining a 70-year-old male patient, the nurse notices that he has bilateral gynecomastia. Which of the following describes the nurse's best course of action?
 
  a. Recommend that he make an appointment with his physician for a mammogram.
  b. Ignore it. Benign breast enlargement in men is not unusual.
  c. Explain that this condition may be the result of hormonal changes, and recommend that he see his physician.
  d. Explain that gynecomastia in men is usually associated with prostate enlargement and recommend that he be thoroughly screened.

Question 2

During an examination of a 7-year-old girl, the nurse notices that the girl is showing breast budding. What should the nurse do next?
 
  a. Ask the young girl if her periods have started.
  b. Assess the girl's weight and body mass index (BMI).
  c. Ask the girl's mother at what age she started to develop breasts.
  d. Nothing; breast budding is a normal finding.

[ladyjames123]

Answer to Question 1

ANS: C
Gynecomastia may reappear in the aging man and may be attributable to a testosterone deficiency.

Answer to Question 2

ANS: B
Research has shown that girls with overweight or obese BMI levels have a higher occurrence of early onset of breast budding (before age 8 years for black girls and age 10 years for white girls) and early menarche.

[Mr.Thesaxman]

TYSM

[Viet Thy]

Excellent