Nokea
A nurse is discussing sterilization with a male client. Which of the following statements by the nurse is accurate?
- A. A vasectomy is effective immediately.
- B. A vasectomy requires a follow-up sperm count to confirm sterility.
- C. A vasectomy prevents testosterone production.
- D. A vasectomy is reversible in all cases.
Correct Answer: B
Rationale: A vasectomy requires a follow-up sperm count to confirm sterility, as sperm may remain in the vas deferens initially. It is not effective immediately, does not affect testosterone production, and reversal is not always successful.
You may also like to solve these questions
The nurse is caring for a multigravid client at 34 weeks' gestation diagnosed with preterm labor. The client has delivered two stillborn infants at 30 weeks' gestation. The client is scheduled for a sonogram before an amniocentesis. Which of the following would be a priority nursing diagnosis for the client?
- A. Acute pain related to abnormal uterine contractions.
- B. Anxiety related to diagnostic tests for fetal well-being.
- C. Ineffective coping related to hospitalization.
- D. Deficient knowledge related to consequences of preterm birth.
Correct Answer: B
Rationale: Anxiety related to diagnostic tests is a priority.
After circumcision with a Plastibell, the nurse should instruct the neonate's mother to cleanse the circumcision site with which of the following?
- A. Warm water.
- B. Povidone-iodine (Betadine) solution.
- C. Diluted hydrogen peroxide.
Correct Answer: A
Rationale: Warm water is recommended for cleansing the circumcision site to keep it clean and promote healing without causing irritation.
A neonate is admitted to the neonatal intensive care unit for observation with a diagnosis of probable meconium aspiration syndrome (MAS). The neonate weighs10 lb, 4 oz (4,650 g) and is at 41 weeks' gestation. Which of the following nursing diagnoses would be the priority for this neonate?
- A. Impaired skin integrity related to post-term status.
- B. Imbalanced nutrition: More than body requirements related to large size.
- C. Risk for impaired parent-infant-child attachment related to transfer to the intensive care unit.
- D. Impaired gas exchange related to the effects of respiratory distress.
Correct Answer: D
Rationale: Impaired gas exchange is the priority due to the respiratory distress associated with meconium aspiration syndrome.
A client in sickle cell crisis has been hospitalized during her pregnancy. After giving discharge instructions, the nurse determines the client needs further teaching when she states which of the following?
- A. "I will need more frequent appointments during the remainder of the pregnancy."
- B. "Signs of any type of infection must be reported immediately."
- C. "At the earliest signs of a crisis, I need to seek treatment."
- D. "I have this disease because I don't eat enough food with iron."
Correct Answer: D
Rationale: Sickle cell disease is genetic, not caused by dietary iron deficiency.
A primiparous client has just delivered her baby. The physician has informed the labor nurse that he believes the uterus has inverted. Which of the following would help to confirm this diagnosis? Select all that apply.
- A. Hypotension.
- B. Gush of blood from the vagina.
- C. Intense, severe, tearing type of abdominal pain.
- D. Uterus is hard and in a constant state of contraction.
- E. Inability to palpate the uterus.
- F. Diaphoresis.
Correct Answer: A,E
Rationale: Uterine inversion is characterized by the uterus turning inside out, often leading to hypotension (due to shock) and inability to palpate the fundus abdominally. A gush of blood may occur but is not specific, severe pain is less common, the uterus is not typically hard, and diaphoresis is a secondary symptom.