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 D

Explanation

The correct answer is choice D.“You should wait until your baby is 6 weeks old before starting the injections.” This is because medroxyprogesterone may pass into breast milk and cause side effects in a child who is breastfed.The product labeling states that it should be started no sooner than 6 weeks postpartum, based on data submitted for product approval.

The World Health Organization also recommends that injectable depot medroxyprogesterone acetate should not be used before 6 weeks postpartum.

Choice A is wrong because starting the injections immediately after delivery could interfere with the exclusivity or duration of lactation, and could affect the newborn infant adversely because of slower metabolism of the drug than older infants.

Choice B is wrong because waiting until the baby is 6 months old is unnecessary and could expose the mother to a higher risk of unintended pregnancy.

Choice C is wrong because medroxyprogesterone has not been known to cause any decrease in milk supply while using the injections

A. Instruct the client to take two pills daily until bleeding stops B. Advise the client to stop taking oral contraceptives immediately C. Tell the client to avoid smoking while taking oral contraceptives D. Suggest that the client switch to a higher-dose formulation

Correct Answer is D

Explanation

The correct answer is choice D. The client should switch to a higher-dose formulation of oral contraceptives.Breakthrough bleeding is a common side effect of low-dose birth control pills, especially in the first months of use.It may indicate that the estrogen dose is too low to suppress the growth of the endometrium.

A higher-dose formulation may reduce or eliminate breakthrough bleeding by providing more estrogen.

Choice A is wrong because taking two pills daily until bleeding stops is not a recommended way to manage breakthrough bleeding.

It may cause side effects such as nausea, headache, or breast tenderness.It may also increase the risk of blood clots.

Choice B is wrong because stopping oral contraceptives immediately is not advisable unless there is a medical reason to do so.

Stopping oral contraceptives may cause irregular bleeding, ovulation, and pregnancy.

The client should consult with their provider before discontinuing any medication.

Choice C is wrong because smoking does not cause breakthrough bleeding, but it does increase the risk of serious complications from oral contraceptives, such as stroke, heart attack, or blood clots.The client should avoid smoking while taking any hormonal contraceptive, regardless of whether they experience breakthrough bleeding or not.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse in a clinic is caring for a client who has been taking oral contraceptives for several months and reports frequent breakthrough bleeding during her cycle. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who has an IUD and reports abdominal pain during sexual intercourse. Which of the following actions should the nurse take first?

A nurse is providing discharge instructions to a client who has just received her first medroxyprogesterone injection for contraception. Which of the following information should the nurse include in the teaching?

A nurse is providing education about the diaphragm to a patient. Which of the following is a contraindication for the use of a diaphragm?

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?

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 reinforcing teaching with a client who has an intrauterine device (IUD) in place and asks how it prevents pregnancy. Which of the following responses should the nurse make?

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

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?