A nurse in an outpatient clinic is providing teaching to a male client who is scheduled for vasectomy with local anesthesia in 1 week and states that he plans on going hunting with his friends on day 2 following his surgery and asks if this will be okay? Which of the following responses should the nurse make?

“Yes, this activity level will be fine.”

“No, you should avoid sexual intercourse until your follow-up visit.”

“No, you should avoid activities that could cause straining or trauma until healing occurs.”

“Yes, but you should wear tight-fitting underwear.”.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C) “No, you should avoid activities that could cause straining or trauma until healing occurs.” This is because a vasectomy is a surgical procedure that involves cutting and sealing the tubes that carry sperm from the testicles to the semen. It requires some time for recovery and healing, and strenuous activities like hunting could increase the risk of bleeding, infection, or reopening the incisions.

Choice A) “Yes, this activity level will be fine.” is wrong because it contradicts the medical advice to rest and avoid heavy lifting or exercise for at least a week after a vasectomy.

Choice B) “No, you should avoid sexual intercourse until your follow-up visit.” is wrong because it is too restrictive. Sexual intercourse can be resumed after a few days or when the pain and swelling subside, as long as contraception is used until the semen is confirmed to be sperm-free.

Choice D) “Yes, but you should wear tight-fitting underwear.” is wrong because it is not enough to prevent complications. Tight-fitting underwear can help support the scrotum and reduce discomfort, but it does not eliminate the need to avoid activities that could cause straining or trauma.

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Correct Answer is B

Explanation

The correct answer is choice B. The client should start taking oral contraceptives (OCs) on day one of their menstrual cycle, which is the first day of their period.This way, they will be protected from pregnancy right away and do not need to use a back-up contraceptive method.

Choice A is wrong because starting OCs on Sunday after the period begins may leave a gap of several days when the client is not protected from pregnancy.They would need to use a back-up method for the first seven days of taking OCs.

Choice C is wrong because starting OCs on day five of the menstrual cycle may also leave a gap of unprotected days.The client would need to use a back-up method for the first seven days of taking OCs.

Choice D is wrong because starting OCs on day fourteen of the menstrual cycle is too late and may not prevent ovulation.The client would need to use a back-up method for the first seven days of taking OCs.

A. The typical failure rate for IUDs is 1% to 3% per year B. The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion C. The IUD can be inserted at any time during the menstrual cycle D. All of the above

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

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for oral contraceptives (OCs). Which of the following statements by the client indicates an understanding of how to initiate OCs?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who wants to use an intrauterine device (IUD) for contraception but has concerns about its safety and effectiveness. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is reviewing the laboratory results of a client who is taking medroxyprogesterone injections for contraception. Which of the following findings should the nurse report to the provider?

A nurse is reviewing the medical record of a client who is scheduled for a bilateral tubal ligation. Which of the following findings is a contraindication for this procedure?

A nurse is providing preoperative teaching to a client who is undergoing a transcervical sterilization procedure. Which of the following information should the nurse include?

A nurse is counseling a client who is breastfeeding and wants to use medroxyprogesterone injections for contraception. Which of the following statements should the nurse make?

A nurse is providing education to a patient about implantable progestin. Which of the following statements made by the patient indicates a need for further teaching?

A nurse is caring for a client who is taking COCs and reports nausea. The nurse should advise the client to

A nurse is reviewing laboratory results for a female client who takes oral contraceptives (OCs). Which of the following findings should indicate to the nurse that OCs are having an adverse effect on this client?

A nurse is providing education to a patient about the use of intrauterine devices (IUDs). Which of the following statements made by the patient indicates a need for further teaching?