A 72-year-old woman is being assessed by the nurse for an annual ...

[Metfan725]

A 72-year-old woman is being assessed by the nurse for an annual physical. Which finding is of concern to the nurse?
 
  a. Thinning of pubic hair
  b. Increased size of the uterus
  c. Decreased size of the clitoris
  d. Loss of tone of the pelvic ligaments

Question 2

A 67-year-old male client had some serum tests performed during his annual examination. The nurse reviews his results, as follows: testosterone: 680 ng/dL; prostate-specific antigen: 10 ng/mL; prolactin: 5 ng/mL. What action by the nurse is best?
 
  a. Assess for possible galactorrhea with breast discharge.
  b. Note the possibility of a testicular tumor.
  c. Communicate to the provider that results were normal.
  d. Prepare the client for further diagnostic testing.

[kiamars2010]

Answer to Question 1

ANS: B
An increased size of the uterus is an abnormal finding and should be assessed further. Normal changes in the reproductive system related to aging include the graying and thinning of pubic hair, decreased size of the labia majora and clitoris, and loss of tone and elasticity of the pelvic ligaments and connective tissue. The uterus would normally be decreased, not increased, in size due to changes in hormonal levels and atrophy.

Answer to Question 2

ANS: D
The prostate-specific antigen is increased from the normal of 0 to 2.5, which could indicate benign prostatic hyperplasia or prostate cancer. Further testing would have to be done. The values of testosterone and prolactin are within normal range. If the prolactin were increased, there would be a possibility of galactorrhea. An increase in testosterone could indicate a possible testicular tumor.

[Metfan725]

TYSM

[cassie_ragen]

Excellent