During an examination of a 57-year old man, you note gynecomastia. Your next best action is what?

Request a mammogram.

Review the clients medication list for drugs that have gynecomastia as a side effect.

Request a breast biopsy.

Proceed with the examination, this is a normal part of the aging process.

Answer and Explanation

The Correct Answer is B

A.   While mammograms are commonly used to evaluate breast tissue in women, they are not typically used for men. In men, gynecomastia is usually evaluated with a physical exam and sometimes ultrasound rather than mammography. A mammogram might be ordered if there is a suspicion of breast cancer, but this is less common and not the first step in evaluating gynecomastia.
B.   This is a prudent and effective next step. Certain medications can cause gynecomastia as a side effect, including some antipsychotics, antidepressants, antiandrogens, and calcium channel blockers. Reviewing the medication list can help identify if the gynecomastia might be related to a drug the client is taking.
C.   A breast biopsy is an invasive procedure used to diagnose breast cancer or other conditions when there is a concern about a mass or abnormality. If gynecomastia is the only finding and there are no concerning features such as a palpable mass or other symptoms, a breast biopsy would not be the first step.
D.   While gynecomastia can occur as a normal part of aging, especially in older men due to hormonal changes, it is important to evaluate it thoroughly to rule out other causes. Simply dismissing it as a normal part of aging without further investigation might overlook an underlying condition or medication side effect.

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Correct Answer is A

Explanation

A. Scoliosis is characterized by an abnormal lateral curvature of the spine. This can result in an uneven shoulder height and an asymmetrical rib cage when viewed from the front or back. The spine may curve to the side, creating a noticeable "S" or "C" shape.
B. Lordosis, also known as hyperlordosis, is an excessive inward curvature of the lower back (lumbar spine). This condition makes the buttocks appear more prominent and the abdomen to protrude. The pelvis tilts forward, creating a pronounced curve in the lower back.
C. Pigeon chest, or pectus carinatum, is a condition where the chest protrudes outward, giving it a "pigeon-like" appearance. The sternum sticks out, creating a noticeable bulge in the center of the chest.

D. Kyphosis is characterized by an excessive outward curvature of the upper spine (thoracic spine), resulting in a hunchbacked or rounded appearance of the upper back. The back may appear rounded or hunched when viewed from the side.

A. respiratory wheezing B. normal breath sounds C. lung sounds clear to auscultation D. decreased respiratory rate

Correct Answer is A

Explanation

A. Wheezing is a high-pitched, musical sound produced by narrowed airways. It is a common and classic finding in asthma due to the bronchoconstriction that occurs during an asthma exacerbation. The presence of wheezing on auscultation is a strong indicator of asthma, as it reflects the turbulent airflow through constricted bronchi.
B. Normal breath sounds would generally not indicate asthma. In the absence of an asthma attack or during periods of remission, a person with asthma might have normal breath sounds. However, during an asthma exacerbation, the breath sounds are more likely to be abnormal, such as wheezing or decreased breath sounds if airflow is severely compromised.
C. Clear lung sounds on auscultation would typically indicate that there are no abnormal sounds such as wheezes, crackles, or rhonchi. In the context of asthma, clear lung sounds could be heard if the asthma is well-controlled or if the client is not currently experiencing an exacerbation.
D. A decreased respiratory rate (bradypnea) is not a typical finding in asthma. During an asthma exacerbation, clients often experience tachypnea (increased respiratory rate) due to difficulty breathing and the increased effort required to breathe.

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During an examination of a 57-year old man, you note gynecomastia. Your next best action is what?

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Naxlex Comprehensive Predictor Exams

Which abnormality is depicted in the image below?

Correct Answer is A

Explanation

Which respiratory assessment finding will most likely indicate the client is exhibiting asthma?

Correct Answer is A

Explanation

During an examination of a 57-year old man, you note gynecomastia. Your next best action is what?

A nurse in an emergency department (ED) is admitting a client. Select 3 findings in the client's medical record that may be indicative of bronchitis.

Which assessment finding is most likely to be immediately life-threatening?

The nurse is caring for 4 clients. Which client is at highest risk for skin breakdown?

The clinic nurse prepares to perform a focused assessment on a client who is complaining of symptoms of a cold, a cough, and lung congestion. Which assessments should the nurse include for this focused assessment? Select the three options that apply.

A client with a diagnosis of pleural inflammation is admitted to the hospital with respiratory distress. Which type of adventitious lung sounds should the nurse expect to hear upon auscultation?

Upon assessment, the nurse noted a temperature of 102.1, respirations of 30 breaths per minute, oxygen saturation of 90% on room air, decreased expansion and dullness over the right lung, and crackles heard on the right lower lobe. Which condition should the nurse suspect?

Which abnormality is depicted in the image below?