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?
“You should avoid sexual activity for at least 4 weeks after the procedure.”.
“You should wear scrotal support for at least 48 hours after the procedure.”.
“You should apply ice packs to the scrotum for at least 72 hours after the procedure.”.
“You should take aspirin for pain relief as needed after the procedure.”.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.Mennorhagia is a contraindication for the use of an intrauterine device (IUD) for contraception because it can cause heavy or prolonged menstrual bleeding.This can lead to anemia, infection, or expulsion of the device.
Choice B is wrong because ovarian cysts are not a contraindication for IUD use.They are usually benign and do not interfere with the placement or function of the device.
Choice C is wrong because fibrocystic breast disease is not a contraindication for IUD use.It is a common condition that causes benign lumps in the breast tissue and does not affect the hormonal balance or the risk of infection.
Choice D is wrong because endometriosis is not a contraindication for IUD use.In fact, some types of IUDs that release progestin can help reduce the symptoms of endometriosis by thinning the endometrial lining and suppressing ovulation.
Correct Answer is B
Explanation
The correct answer is choice B. It creates a local inflammatory response that impairs implantation.This means that the IUD makes the lining of the uterus less suitable for a fertilized egg to attach to it.
Choice A is wrong because it describes how hormonal IUDs work, not copper IUDs.Hormonal IUDs release hormones that thicken cervical mucus and prevent ovulation.
Choice C is wrong because it describes how tubal ligation works, not IUDs.Tubal ligation is a surgical procedure that blocks or cuts the fallopian tubes, which prevents sperm from reaching an egg.
Choice D is wrong because it implies that all of the above choices are correct, which they are not.
Only choice B is correct for copper IUDs.
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