Nokea
The nurse correctly teaches a couple that immediately after a vasectomy, it is best to continue using an alternative birth control method for which time period?
- A. 1 month
- B. 6 weeks
- C. 12 weeks
- D. 6 months
Correct Answer: C
Rationale: Sperm may remain in the vas deferens for up to 12 weeks post-vasectomy, requiring alternative contraception until azoospermia is confirmed.
You may also like to solve these questions
The client diagnosed with testicular cancer is scheduled for a unilateral orchiectomy. Which information is important to teach regarding sexual functioning?
- A. The client will have ejaculation difficulties after the surgery.
- B. The client will be prescribed male hormones following the surgery.
- C. The client may need to have a penile implant to be able to have intercourse.
- D. Libido and orgasm usually are unimpaired after this surgery.
Correct Answer: D
Rationale: Unilateral orchiectomy typically preserves libido and orgasm, as one testis maintains hormonal function. Ejaculation issues, hormone therapy, or penile implants are not standard post-surgery.
The 80-year-old male client has been diagnosed with cancer of the prostate. Which treatment should the nurse discuss with the client?
- A. Radiation therapy every day for four (4) weeks.
- B. Radical prostatectomy with lymph node dissection.
- C. Diethylstilbestrol (DES), an estrogen, daily.
- D. Penile implants to maintain sexual functioning.
Correct Answer: A
Rationale: Radiation therapy is often preferred for elderly patients with prostate cancer, balancing efficacy and lower surgical risk. Prostatectomy is invasive, DES is rarely used, and penile implants are unrelated.
The client has undergone a wedge resection for cancer of the left breast. Which discharge instruction should the nurse teach?
- A. Don't lift more than five (5) pounds with the left hand until released by the HCP.
- B. The cancer has been totally removed and no follow-up therapy will be required.
- C. The client should empty the Hemovac drain about every 12 hours.
- D. The client should arrange an appointment with a plastic surgeon for reconstruction.
Correct Answer: A
Rationale: Limiting lifting with the affected arm prevents strain and lymphedema risk post-wedge resection. Claiming cancer is fully removed is misleading, Hemovac drains are uncommon in lumpectomy, and reconstruction is not universally needed.
Which breast palpation technique is most correct?
- A. Examine the breast while using the heel of the hand.
- B. Examine the breast while using the index finger only.
- C. Examine the breast while using the index finger and thumb.
- D. Examine the breast while using the pads of the fingertips.
Correct Answer: D
Rationale: Using the pads of the fingertips allows for better sensitivity to detect lumps or changes in breast tissue during palpation, making it the most effective technique for BSE.
The nurse writes a client problem of 'anxiety related to potential sexual dysfunction' for a client diagnosed with cancer of the prostate. Which intervention should the nurse implement?
- A. Tell the client to discuss his fears with the HCP.
- B. Talk to the wife about the client’s concerns.
- C. Inform the client sexual functioning will not be altered.
- D. Provide a private area for the client to discuss his concerns.
Correct Answer: D
Rationale: A private area facilitates open discussion of sexual dysfunction fears, reducing anxiety. HCP referral, spousal discussion, or false reassurance are less therapeutic.