A nurse is examining a male client within normal weight range who is questioning about the cause of his enlarged breasts. Which course of action best describes how the nurse should address the client's bilateral gynecomastia?

Inform the client that his breast enlargement is benign, and normal for an adult male

Recommend that he alter his diet to include fewer fats and more lean proteins

Explain that this condition may be the result of hormonal changes, and recommend that he see his physician

Explain that gynecomastia in men usually associated with prostate enlargement and recommend that he be screened