A nurse is reinforcing teaching with a male client about a semen analysis to be done for suspected infertility.
Which of the following information should the nurse include?
The specimen should be refrigerated after collection.
You should abstain from ejaculation for at least 2 to 3 days prior to the test.
The specimen should remain at room temperature for 3 to 4 hours prior to transport to the laboratory.
You will collect the specimen using a condom with spermicide. Sure, I understand your instructions.
The Correct Answer is B
Choice A rationale:
Refrigerating the specimen after collection is not recommended for semen analysis. Cold temperatures can damage sperm motility and viability, leading to inaccurate results. The specimen should be kept at room temperature and transported to the laboratory within 1 hour of collection. This ensures that the sperm are analyzed under conditions that closely resemble their natural environment within the body, providing the most accurate assessment of their health and function.
Choice C rationale:
Allowing the specimen to remain at room temperature for 3 to 4 hours prior to transport is also not advised. While sperm can survive for a limited time outside the body, prolonged exposure to room temperature can also negatively impact their motility and viability. This can compromise the accuracy of the semen analysis results.
Choice D rationale:
Collecting the specimen using a condom with spermicide is strictly prohibited for semen analysis. Spermicides are designed to kill sperm, and their presence in the sample would render the analysis entirely invalid. It's crucial to collect the specimen directly into a sterile container provided by the laboratory to ensure no contaminants interfere with the analysis.
Choice B rationale:
Abstaining from ejaculation for 2 to 3 days prior to the semen analysis is essential for obtaining accurate results. This timeframe allows for optimal sperm concentration and quality within the ejaculate. Frequent ejaculation can deplete sperm reserves, potentially leading to lower sperm counts and reduced motility in the sample. By adhering to the recommended abstinence period, the chances of obtaining a representative and accurate assessment of the patient's semen quality are significantly increased.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The estimated date of delivery (EDD) using Naegele's rule is _.
Step 1: Add 7 days to the first day of the last menstrual period. May 8 + 7 days = May 15
Step 2: Count 3 months back. May - 3 months = February
Step 3: Adjust the year if necessary. The year remains the same.
The estimated date of delivery is February 15 of the following year.
Correct Answer is C
Explanation
Choice A:
While an ultrasound can indeed determine if there are multiple fetuses, this is not the primary reason for performing it prior to amniocentesis. The number of fetuses is typically established earlier in pregnancy through routine ultrasounds.
Focusing solely on multiple fetuses might lead the client to believe that ultrasounds are only conducted in such cases, which is not accurate.
Choice B:
Determining fetal age is a crucial aspect of prenatal care, but it's not the main reason for an ultrasound before amniocentesis. Fetal age is typically assessed through earlier ultrasounds, often in the first trimester.
Highlighting fetal age might misinform the client about the specific purpose of the ultrasound in this context.
Choice C:
This is the most appropriate response because it accurately identifies the primary purpose of the ultrasound.
Amniocentesis involves inserting a needle into the amniotic sac to collect a sample of amniotic fluid. To ensure the safety of the procedure and minimize risks to the fetus, it's essential to accurately visualize the location of the amniotic sac and placenta, as well as assess the position of the fetus.
Ultrasound provides real-time imaging that allows the healthcare provider to visualize these structures with precision, guiding the needle insertion and reducing the risk of complications.
Choice D:
While stating that the ultrasound is for imaging is technically correct, it's too general and doesn't provide the specific reason for its use in this context.
A more informative response would clarify the specific imaging goals for amniocentesis, as outlined in Choice C.
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