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 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.The patient should receive the injection withinsevendays after delivery if breastfeeding, not five.Injectable progestins are a type of hormonal contraception that prevent ovulation and thicken cervical mucus.They are given by a health professional every 12 weeks.
Choice A is wrong because injectable progestins may cause bone mineral loss with long-term use, so the patient should be aware of this risk.
Choice C is wrong because injectable progestins may cause decreased bleeding or amenorrhea in some women, which is not harmful but may be unexpected.
Choice D is wrong because injectable progestins are given every three months, not four times per year.
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