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A nurse is caring for a client who had a vasectomy 2 days ago.

Which of the following instructions should the nurse include in the discharge teaching?

A.

“You should avoid sexual activity for at least 4 weeks after the procedure.”.

B.

“You should wear scrotal support for at least 48 hours after the procedure.”.

C.

“You should apply ice packs to the scrotum for at least 72 hours after the procedure.”.

D.

“You should take aspirin for pain relief as needed after the procedure.”.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. The client should wear scrotal support for at least 48 hours after the procedure to decrease pain and swelling, and protect the wound.

Some possible explanations for the other choices are:

  • Choice A is wrong because the client should avoid sexual activity for at least 1 week, not 4 weeks, after the procedure. The client will not be sterile right away and will need to use another form of birth control until the sperm count is zero.
  • Choice C is wrong because the client should apply ice packs to the scrotum for at least 2 days, not 72 hours, after the procedure. Ice helps prevent tissue damage and decrease swelling and pain.
  • Choice D is wrong because the client should not take aspirin for pain relief after the procedure, as it can increase the risk of bleeding. The client can take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen instead.


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Related Questions

Correct Answer is D

Explanation

The correct answer is choiceD.

All of the above.

Here is why:

  • Choice A is correct because obtaining informed consent from the client is a necessary step before any invasive procedure, including IUD insertion.
  • Choice B is correct because performing a Pap smear and cervical culture can help screen for cervical cancer and sexually transmitted infections, which are contraindications for IUD use.
  • Choice C is correct because administering an analgesic medication can help reduce the pain and discomfort associated with IUD insertion, especially in nulliparous women who have a smaller cervical diameter.
  • Choice D is correct because it includes all of the above actions, which are recommended by the American College of Obstetricians and Gynecologists (ACOG) for IUD insertion in nulliparous women.
  • Choice A is wrong if it is the only action taken, because it does not address the other aspects of IUD insertion such as screening and pain management.
  • Choice B is wrong if it is the only action taken, because it does not ensure the client’s consent and comfort during the procedure.
  • Choice C is wrong if it is the only action taken, because it does not verify the client’s eligibility and suitability for IUD use.

Correct Answer is A

Explanation

The correct answer is choice A.A history of toxic shock syndrome (TSS) is a contraindication for the use of a diaphragm.

TSS is a rare but serious condition caused by a bacterial infection that can occur when using a diaphragm for too long or not cleaning it properly.

Choice B is wrong because a history of uterine fibroids is not a contraindication for the use of a diaphragm.

Uterine fibroids are benign tumors that grow in the uterus and usually do not affect the cervix or the fit of the diaphragm.

Choice C is wrong because a history of irregular menstrual periods is not a contraindication for the use of a diaphragm.

Irregular periods may be caused by various factors such as stress, hormonal imbalance, or medical conditions, but they do not affect the effectiveness or safety of the diaphragm.

Choice D is wrong because a history of breast cancer is not a contraindication for the use of a diaphragm.

Breast cancer is not related to the use of barrier methods of contraception such as the diaphragm.

However, some hormonal methods of contraception may increase the risk of breast cancer or be contraindicated for women who have or had breast cancer.

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