A nurse practitioner has just diagnosed a 14-year-old boy with Klinefelter syndrome. What is the most appropriate treatment?
Estrogen
Testosterone
None
Progesterone
The Correct Answer is B
Choice A reason: Estrogen is not indicated because Klinefelter syndrome involves low testosterone; giving estrogen could worsen feminization and does not address the underlying hormone deficiency.
Choice B reason: Testosterone replacement therapy is the mainstay of treatment in Klinefelter syndrome to promote the development of secondary sexual characteristics, improve muscle mass and bone density, and support overall physical and psychological health.
Choice C reason: Doing nothing would allow the effects of testosterone deficiency to persist, including delayed puberty, reduced muscle mass, decreased bone density, and potential psychosocial difficulties.
Choice D reason: Progesterone is not used in Klinefelter syndrome; it does not address testosterone deficiency and has no role in managing the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While factually correct, this statement is dismissive and does not validate the patient’s autonomy or concerns.
Choice B reason: This response is accurate and patient-centered, acknowledging the lack of proven benefit while respecting the patient’s choice to use ginkgo biloba.
Choice C reason: This is a personal opinion rather than an evidence-based, professional response and may seem judgmental.
Choice D reason: This statement minimizes the patient’s concern and may provide false reassurance.
Correct Answer is B
Explanation
Choice A reason: Sam-e is primarily used for depression and joint pain. While it may have mild anticoagulant effects, it is not as significant in potentiating warfarin’s effects as omega-3 fatty acids.
Choice B reason: This choice is correct because omega-3 fatty acids have antiplatelet properties and can increase the risk of bleeding when combined with warfarin. Patients on anticoagulants are typically advised to limit or discontinue omega-3 supplementation.
Choice C reason: Melatonin is a sleep-regulating supplement and does not significantly affect coagulation or interact with warfarin to increase bleeding risk.
Choice D reason: Tryptophan is an amino acid precursor to serotonin used for sleep or mood regulation. It does not have a clinically significant interaction with warfarin.
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