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?
“You need to have a sperm count test to confirm your sterility.”.
“You need to wait for at least 20 more ejaculations before you are sterile.”.
“You need to use another form of contraception for at least 3 more months.”.
“You need to have a repeat vasectomy to ensure your sterility.”.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should include all of the following information in the teaching:
- The typical failure rate for IUDs is 1% to 3% per year.
- This means that out of 100 women who use an IUD for a year, one to three may get pregnant.
- The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion.
- PID is an infection of the reproductive organs that can cause infertility, chronic pain, or ectopic pregnancy.
- The risk of PID is higher if the woman or her partner has multiple sexual partners or a sexually transmitted infection (STI).
- The IUD can be inserted at any time during the menstrual cycle.
- However, some doctors may prefer to insert it during or right after the period, when the cervix is more open and the chance of pregnancy is lower.
Choice A is wrong because it only states one piece of information that the nurse should include in the teaching.
Choice B is wrong because it only states one piece of information that the nurse should include in the teaching.
Choice C is wrong because it only statesone piece of information that the nurse should include in the teaching
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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