The nurse is providing preoperative education to a client prior to having an orchiectomy for testicular cancer. What statement by the client indicates the need to review the information?
"Testicular self-exam will be important on the remaining testis."
"I will investigate sperm banking before the operation."
"I can still function sexually without one of my testes."
"There should be no effect on my ability to reproduce."
The Correct Answer is D
A. Testicular self-exam remains important for the remaining testis.
B. Sperm banking is a reasonable consideration.
C. Sexual function is usually maintained with one testis.
D. This statement is incorrect; fertility may be affected, hence sperm banking consideration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Gonorrhea and chlamydia often coexist in individuals, and doxycycline is prescribed to treat chlamydia in addition to ceftriaxone for gonorrhea. Treating both infections is crucial to reduce the risk of complications and reinfection.
B. While ceftriaxone is effective against N. gonorrhoeae, doxycycline is used to treat chlamydia, not to eradicate resistant strains of gonorrhea.
C. Reinfection during treatment can be minimized with both medications, but the primary purpose of doxycycline is to treat a possible co-infection with chlamydia.
D. This combination therapy does not primarily aim to prevent the development of resistant organisms but to treat both infections effectively.
Correct Answer is B
Explanation
A. Drinking water in hot weather is important to prevent dehydration. This is not a risk factor for metabolic alkalosis unless the client is excessively losing electrolytes through sweating and not replacing them.
B. Sodium bicarbonate is an alkaline substance, and regular use, especially after meals, can contribute to metabolic alkalosis. The client should be instructed on the potential risks of using sodium bicarbonate too frequently.
C. Avoiding milk due to gastrointestinal symptoms does not directly contribute to metabolic alkalosis.
D. Digoxin does not directly affect acid-base balance, but it requires monitoring due to potential interactions with other medications or electrolyte imbalances.
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