I’m working on a nursing discussion question and need a sample draft to help me study.

In high school, Jake was a tall and physically well-coordinated student who played on both the school’s basketball and football teams. Now in his second year of college, Jake visits the Student Clinic because of a sprained wrist. The nurse uses this as an opportunity to obtain a complete health history.

Jake mentions he feels clumsy in comparison to how he felt as a high-school athlete. He verbally expresses his awkwardness may be related to not playing sports now. He admits to no physical activity beyond walking across campus. Jake states college demands so much study time, and he also has a part-time job.

Jake states he had not been especially tall in grade school. His growth spurt came in junior high, and in high school he was a large and slender young man who reached six feet four inches in height. At one point, Jake scratched his head thoughtfully and said, “But you know, I think I’ve grown a lot since high school. And I’m still growing.” The nurse confirms Jake’s height has increased and begins to suspect Jake’s size may be due to an endocrine condition.

QUESTIONS

1. What condition might Jake have?

A. Gigantism

B. Acromegaly

C. Hypopituitarism

D. Cushing’s syndrome

2. How would the diagnosis be confirmed?