Nokea
A client comes to the outpatient clinic for information on a vasectomy. Which instruction should be included by the nurse?
- A. Vasectomies should be considered a permanent means of birth control.
- B. Following surgery, sexual intercourse should be avoided for 3 months.
- C. Postoperative discomfort can be relieved with use of warm bath.
- D. Vasectomy can result in permanent impotence.
Correct Answer: A
Rationale: Although attempts to reverse a vasectomy have proven successful, a vasectomy should be considered a permanent means of birth control. Scar formation and/or sperm leakage can interfere with restoration of reproductive effectiveness. Sexual intercourse can be resumed when it is comfortable to do so, usually in about 1 week. Postoperative discomfort should be controlled with application of cold to reduce swelling or use of mild analgesics. On occasion, clients have complained of impotence, but vasectomies have no effect on erection or ejaculation.
You may also like to solve these questions
The nurse is caring for a client with benign prostatic hyperplasia (BPH). Which assessment finding provides the best indication of urinary retention?
- A. Frequency
- B. Urgency
- C. Hesitancy
- D. Dribbling
Correct Answer: A
Rationale: As residual urine accumulates, the client has an urge to void more often. Urgency, hesitancy, and dribbling are all urinary symptoms associated with BPH but not specific to urinary retention.
A client is scheduled for a pump-type implanted penile prosthesis. Which client statement to the nurse would indicate the need for additional teaching?
- A. The reservoir is filled with saline solution.
- B. The penis will appear longer than usual.
- C. Surgery is required for placing the implant.
- D. The implant is pumped when sexual activity is desired.
Correct Answer: B
Rationale: When a pump-type implant is used, the erect penis tends to be shorter than usual because the saline filled cylinders do not fill the glans portion of the penis. This procedure is performed via surgical approach. The implant is pumped causing filling and erection when sexual activity is desired.
Which recommendation would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis?
- A. Ensure immunizations against infectious diseases such as mumps.
- B. Engage in activities and exercises that minimize heavy lifting.
- C. Encourage the consumption of foods that are rich in fat and starch.
- D. Urge the limited intake of foods and fluids containing caffeine.
Correct Answer: A
Rationale: Nurses should advocate for infant and childhood immunizations against infectious diseases such as mumps to reduce potential adult complications such as orchitis. Minimizing activities involving heavy lifting or urging limited intake of caffeine have no effect on the potential for adult complications such as orchitis. The nurse should encourage foods that are low in fat and starch; however, this also would have no effect on the potential for orchitis.
A young client is admitted with torsion of the spermatic cord. Which is the appropriate action to be taken by the nurse?
- A. Elevate the scrotum.
- B. Keep the client NPO.
- C. Monitor vital signs for cardiac changes.
- D. Avoid the use of analgesics.
Correct Answer: B
Rationale: With torsion of the spermatic cord, immediate surgery is necessary to prevent atrophy of the cord and preserve fertility. The client should be placed on NPO state in preparation for surgery. Elevating the scrotum intensifies the pain by increasing the degree of twist. Analgesics are prescribed preoperatively to control pain. Cardiac changes are not indicated unless client history warrants assessment.
The nurse is caring for a client with erectile dysfunction. Because the client has coronary artery disease (CAD), the nurse anticipates the provider will prescribe which medication for ED?
- A. Sidenafil (Viagra)
- B. Tadlafil (Cialis)
- C. Apomorphine (Uprima)
- D. Vardenafil (Levitra)
Correct Answer: C
Rationale: Apomorphine (Uprima), a dopamine agonist, is a possible alternative to phosphodiesterase (PDE5) inhibitors, such as sidenafil (Viagra), tadlafil (Cialis), and vardenafil (Levitra) for the treatment of ED. Uprima is safer for men with CAD and does not cause mass vasodilation of the blood vessels such as the PDE5 inhibitors.