A 68-year-old male client is embarrassed about having bilateral ...

[Mimi]

A 68-year-old male client is embarrassed about having bilateral breast enlargement. Which statement by the nurse is the most appropriate?
 
  a. Breast cancer in men is quite rare.
  b. It is good that you came to be carefully evaluated.
  c. Gynecomastia usually comes from overeating.
  d. When you get older, the male breast always enlarges.

Question 2

The nurse is taking the history of a client who is scheduled for breast augmentation surgery. The client reveals that she took two aspirin this morning for a headache. Which action by nurse is best?
 
  a. Take the client's vital signs and record them in the chart.
  b. Notify the surgeon about the aspirin ingestion by the client.
  c. Warn the client that health insurance may not pay for the procedure.
  d. Teach the client about avoiding twisting above the waist after the operation.

[ciecieme]

Answer to Question 1

ANS: B
The most appropriate statement is the one that is supportive of the client. A breast mass should be carefully evaluated for breast cancer, even if it is not common. Gynecomastia as a symptom can be related to antiandrogen agents, aging, obesity, estrogen excess, or lack of androgens.

Answer to Question 2

ANS: B
The surgeon must be notified immediately since the aspirin could cause increased bleeding during the procedure. Vital signs should be recorded and postoperative teaching should be completed in the preoperative time frame, but these are not the priority since the procedure may be rescheduled. The warning about the client's health insurance is not appropriate at this time.