A nurse in an outpatient clinic is providing teaching to a male client who is scheduled for vasectomy with local anesthesia in 1 week and states that he plans on going hunting with his friends on day 2 following his surgery and asks if this will be okay? Which of the following responses should the nurse make?
“Yes, this activity level will be fine.”
“No, you should avoid sexual intercourse until your follow-up visit.”
“No, you should avoid activities that could cause straining or trauma until healing occurs.”
“Yes, but you should wear tight-fitting underwear.”.
The Correct Answer is C
The correct answer is choice C) “No, you should avoid activities that could cause straining or trauma until healing occurs.” This is because a vasectomy is a surgical procedure that involves cutting and sealing the tubes that carry sperm from the testicles to the semen. It requires some time for recovery and healing, and strenuous activities like hunting could increase the risk of bleeding, infection, or reopening the incisions.
Choice A) “Yes, this activity level will be fine.” is wrong because it contradicts the medical advice to rest and avoid heavy lifting or exercise for at least a week after a vasectomy.
Choice B) “No, you should avoid sexual intercourse until your follow-up visit.” is wrong because it is too restrictive. Sexual intercourse can be resumed after a few days or when the pain and swelling subside, as long as contraception is used until the semen is confirmed to be sperm-free.
Choice D) “Yes, but you should wear tight-fitting underwear.” is wrong because it is not enough to prevent complications. Tight-fitting underwear can help support the scrotum and reduce discomfort, but it does not eliminate the need to avoid activities that could cause straining or trauma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.COCs can reduce the risk of endometrial, ovarian and colon cancer.This is because COCs suppress ovulation and reduce inflammation in the genital tract, which may lower the exposure to carcinogens and mutagens.
Choice B is wrong because COCs do not increase bone density or prevent osteoporosis.In fact, some studies have suggested that COCs may have a negative effect on bone mineral density.
Choice C is wrong because COCs do not enhance fertility or improve menstrual regularity.
COCs prevent pregnancy by inhibiting ovulation, which means that they temporarily suppress fertility.COCs may also cause irregular bleeding or amenorrhea in some women.
Choice D is wrong because COCs do not lower blood pressure or cholesterol levels.On the contrary, COCs may increase the risk of hypertension and dyslipidemia in some women, especially those who smoke, are obese, or have a family history of cardiovascular disease.
Correct Answer is A
Explanation
The correct answer is choice A. Perform a pregnancy test.An IUD is a form of birth control that is inserted into the uterus to prevent pregnancy, but it is not 100% effective.If a client with an IUD misses a menstrual period, the first action the nurse should take is to rule out pregnancy by performing a pregnancy test.This is because pregnancy with an IUD can have serious complications, such as ectopic pregnancy, infection, miscarriage or preterm labor.
Choice B is wrong because palpating for uterine enlargement is not a reliable way to diagnose pregnancy, especially in the early stages.It can also cause discomfort or bleeding for the client.
Choice C is wrong because assessing for signs of ectopic pregnancy is not the first action the nurse should take.
Ectopic pregnancy is a possible complication of pregnancy with an IUD, but it is not very common.The nurse should first confirm if the client is pregnant before looking for signs of ectopic pregnancy, such as abdominal pain, vaginal bleeding or shoulder pain.
Choice D is wrong because instructing the client to remove the IUD is not appropriate or safe.
The client should not attempt to remove the IUD by themselves, as this can cause injury or infection.The nurse should refer the client to an OB-GYN if they are pregnant with an IUD or if they want to remove the IUD for any reason.
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