Chapter 25_ Documenting Assessment of the Anus, Rectum, Prostate, and Male Genitalia.

Chapter 25:
Documenting
Assessment of
the Anus,
Rectum, Prostate,
and

, Chapter 25: Documenting Assessment of the Anus, Rectum, Prostate, an
Male Genitalia

1. Delayed genital development
Delayed genital development, as reported by the patient, is history of present
illness and may be related to Klinefelter syndrome.

Diminished pubic hair
Diminished pubic hair, as noted by the nurse, is objective data, not history of
present illness.

Enlarged breast tissue
Enlarged breast tissue, as noted by the nurse, is objective data, not history of
present illness.

Hypogonadism
Hypogonadism, as noted by the nurse, is objective data, not history of present
illness.: The parents of a male patient report that their son does not seem to be
going through puberty. On examination, the penis and scrotum are small, with scant
pubic and axillary hair and enlarged breast tissue. Which data should the nurse
document as history of present illness?

Delayed genital development
Diminished pubic hair
Enlarged breast tissue
Hypogonadism
2. Chills
Chills, as reported by the patient, are history of present illness because the
patient describes them as a current symptom.

Enlarged prostate
An enlarged prostate on examination is objective data, not history of present
illness.

Fever
Fever, as reported by the patient, is history of present illness because the
patient describes it as a current symptom.

Sexual dysfunction
Sexual dysfunction, as reported by the patient, is history of present illness
because the patient describes it as a current symptom.
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