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.”.

Answer and Explanation

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.

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Correct Answer is C

Explanation

The correct answer is choice C. Copper intrauterine device.This is because copper intrauterine devices do not contain hormones and are therefore safe for women with a history of breast cancer and cardiovascular disease.

Some possible explanations for the other choices are:

Choice A. Injectable progestins.This is wrong because injectable progestins may increase the risk of breast cancer in women with the BRCA1 geneand may also worsen hypertension and dyslipidemia.
Choice B. Contraceptive vaginal ring.This is wrong because contraceptive vaginal rings contain estrogen and progestin, which may increase the risk of thromboembolic events, stroke, and myocardial infarction in women with cardiovascular disease.
Choice D. Combined oral contraceptives.This is wrong because combined oral contraceptives also contain estrogen and progestin, which have the same risks as contraceptive vaginal rings for women with cardiovascular disease.Additionally, combined oral contraceptives may interact with some medications used to treat chronic conditions and reduce their effectiveness.

A. “You need to have a sperm count test to confirm your sterility.”. B. “You need to wait for at least 20 more ejaculations before you are sterile.”. C. “You need to use another form of contraception for at least 3 more months.”. D. “You need to have a repeat vasectomy to ensure your sterility.”.

Correct Answer is A

Explanation

The correct answer is choice A.“You need to have a sperm count test to confirm your sterility.”

A sperm count test is a semen analysis that measures the number of sperm in the ejaculate.

It is the only way to verify that a vasectomy has been successful and that the man is sterile.A man is considered sterile when his sperm count is zero or below 100,000 non-motile sperm per sample.

Choice B is wrong because the number of ejaculations does not guarantee sterility.Some sperm may still be present in the severed vas deferens for months after a vasectomy.

Choice C is wrong because the duration of contraception use after a vasectomy depends on the sperm count test results, not on a fixed time period.It may take more or less than 3 months for a man to become sterile after a vasectomy.

Choice D is wrong because a repeat vasectomy is unnecessary and ineffective to ensure sterility.A vasectomy is a permanent birth control method that rarely fails or reverses.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a history of breast cancer and cardiovascular disease and is seeking advice on contraception. Which of the following contraceptive methods should the nurse recommend as the safest option for this client?

Correct Answer is C

Explanation

A nurse is counseling a client who had a vasectomy 6 weeks ago and wants to know if he is sterile yet. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is providing discharge instructions to a client who has just received her first medroxyprogesterone injection for contraception. Which of the following information should the nurse include in the teaching?

A nurse is providing preoperative teaching to a client who is undergoing a transcervical sterilization procedure. Which of the following information should the nurse include?

A nurse is caring for a client who requests information about female sterilization (bilateral tubal ligation). Which of the following statements by the nurse is appropriate? (Select all that apply.).

A nurse is reviewing the medical history of a client who is considering using COCs as a method of contraception. The nurse should identify that which of the following conditions is a contraindication for using COCs?

A nurse is providing education to a patient about implantable progestin. Which of the following statements made by the patient indicates a need for further teaching?

A nurse is teaching a patient about the use of spermicide. Which of the following is an adverse effect of some spermicides that contain nonoxynol-9 (N-9)?

A nurse is reinforcing teaching with a client who is considering a progestin-releasing IUD for contraception. Which of the following benefits should the nurse include in the teaching?

A nurse is reviewing the laboratory results of a client who is taking medroxyprogesterone injections for contraception. Which of the following findings should the nurse report to the provider?