The nurse is preparing an educational session regarding the ...

[lbcchick]

The nurse is preparing an educational session regarding the causes for male gynecomastia. Which items will the nurse include in the session? Select all that apply.
 
  1. Breast cancer.
  2. Infants following birth.
  3. The onset of puberty.
  4. Hormone therapy.
  5. Breast infection.

Question 2

During a focused assessment, the female client reports breast tenderness, swelling, and lymph node enlargement around the time of her period. Which response by the nurse is the most appropriate?
 
  1. This sounds like a condition known as nodularity. It is a benign disorder so you will need to monitor your breasts monthly.
  2. Fluctuating hormone levels around the time of your period frequently causes these symptoms. I will note this in your chart and notify your primary care provider.
  3. As long as you have not detected any lumps you have nothing to worry about.
  4. Do you have a history of fibrocystic breast disease? These symptoms are usually seen with this disease.

[6ana001]

Answer to Question 1

Correct Answer: 2, 3, 4
Gynecomastia is a temporary condition of breast enlargement in males. It is most commonly seen in infants, at puberty, and in older males. In older males it may accompany hormonal treatment for prostate cancer. Cancer of the breast in males typically manifests as a hard nodule fixed to the nipple and underlying tissue, and nipple discharge may be present. Gynecomastia is not associated with infection of the breast.

Answer to Question 2

Correct Answer: 2
Fluctuating hormone levels around the time of your period frequently causes these symptoms. I will note this in your chart and notify your primary care provider is the best response since these are typical symptoms associated with the fluctuation of hormone levels during menses, but should still be reported. Nodularity is a benign condition, but the client does not mention any nodules being present. Stating As long as you have not detected any lumps you have nothing to worry about, may lead the client to feel that complaints are not justified unless lumps are present. Fibrocystic breast disease is seen with fluctuation of hormone levels with menses but typically has several other symptoms in addition to breast pain, including bilateral masses upon palpation that feel soft, well demarcated, and freely movable, and clear, straw colored, milky, or green discharge from the nipples.