Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is teaching a client who is considering female sterilization as a contraceptive method.
Which of the following statements by the nurse is appropriate?
A. “You will need to use another form of birth control for 3 months after the procedure.”.
It takes time for the remaining sperm in the reproductive tract to be cleared out after female sterilization. Therefore, another contraceptive method is needed to prevent pregnancy during this period.
B. “You will have a higher risk of developing ovarian cancer after the procedure.”.
Female sterilization does not increase the risk of ovarian cancer.In fact, some studies have suggested that it may lower the risk of ovarian and endometrial cancers.
C. “You will experience changes in your menstrual cycle and sexual function after the procedure.”.
Female sterilization does not affect the menstrual cycle or sexual function.The ovaries still produce hormones and eggs as normal, but the eggs are absorbed by the body instead of travelling to the uterus.
D. “You will be able to have the procedure reversed if you change your mind later.”.
Female sterilization is intended to be a permanent method of contraception and reversal is not guaranteed to be successful.Reversal surgery is also more complicated and expensive than the original procedure.Therefore, women who choose female sterilization should be sure that they do not want any more children in the future.
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Full Explanation
The correct answer is choice A. “You will need to use another form of birth control for 3 months after the procedure.” This is because it takes time for the remaining sperm in the reproductive tract to be cleared out after female sterilization.
Therefore, another contraceptive method is needed to prevent pregnancy during this period.
Choice B is wrong because female sterilization does not increase the risk of ovarian cancer. In fact, some studies have suggested that it may lower the risk of ovarian and endometrial cancers.
Choice C is wrong because female sterilization does not affect the menstrual cycle or sexual function. The ovaries still produce hormones and eggs as normal, but the eggs are absorbed by the body instead of travelling to the uterus.
Choice D is wrong because female sterilization is intended to be a permanent method of contraception and reversal is not guaranteed to be successful. Reversal surgery is also more complicated and expensive than the original procedure. Therefore, women who choose female sterilization should be sure that they do not want any more children in the future.
Similar Questions
A nurse is caring for a client who had a vasectomy 2 days ago.
Which of the following instructions should the nurse include in the discharge teaching?
A. “You should avoid sexual activity for at least 4 weeks after the procedure.”.
The client should avoid sexual activity for at least 1 week, not 4 weeks, after the procedure. The client will not be sterile right away and will need to use another form of birth control until the sperm count is zero.
B. “You should wear scrotal support for at least 48 hours after the procedure.”.
The client should wear scrotal support for at least 48 hours after the procedure to decrease pain and swelling, and protect the wound.
C. “You should apply ice packs to the scrotum for at least 72 hours after the procedure.”.
The client should apply ice packs to the scrotum for at least 2 days, not 72 hours, after the procedure. Ice helps prevent tissue damage and decrease swelling and pain.
D. “You should take aspirin for pain relief as needed after the procedure.”.
The client should not take aspirin for pain relief after the procedure, as it can increase the risk of bleeding. The client can take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen instead
Full Explanation
The correct answer is choice B. The client should wear scrotal support for at least 48 hours after the procedure to decrease pain and swelling, and protect the wound.
Some possible explanations for the other choices are:
- Choice A is wrong because the client should avoid sexual activity for at least 1 week, not 4 weeks, after the procedure. The client will not be sterile right away and will need to use another form of birth control until the sperm count is zero.
- Choice C is wrong because the client should apply ice packs to the scrotum for at least 2 days, not 72 hours, after the procedure. Ice helps prevent tissue damage and decrease swelling and pain.
- Choice D is wrong because the client should not take aspirin for pain relief after the procedure, as it can increase the risk of bleeding. The client can take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen instead.
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. The client has a history of pelvic inflammatory disease
A history of pelvic inflammatory disease is not a contraindication for bilateral tubal ligation.It may increase the risk of complications from the surgery, such as infection or adhesions, but it does not prevent the procedure from being performed.
B. The client has a positive pregnancy test result
The client has a positive pregnancy test result. This is a contraindication for bilateral tubal ligation because the procedure is a permanent form of contraception and should not be performed on a pregnant woman. The client should be counseled about other options for birth control or termination of pregnancy.
C. The client has a family history of breast cancer
A family history of breast cancer is not a contraindication for bilateral tubal ligation.It may affect the client’s decision to undergo the procedure, as some studies have suggested that tubal ligation may reduce the risk of ovarian cancer, which is associated with breast cancer.
D. The client has a history of endometriosis
A history of endometriosis is not a contraindication for bilateral tubal ligation. It may cause pelvic pain or infertility, but it does not affect the effectiveness or safety of the procedure.In fact, some studies have shown that tubal ligation may improve the symptoms of endometriosis by reducing retrograde menstruation.
Full Explanation
The correct answer is choice B. The client has a positive pregnancy test result.
This is a contraindication for bilateral tubal ligation because the procedure is a permanent form of contraception and should not be performed on a pregnant woman.
The client should be counseled about other options for birth control or termination of pregnancy.
Choice A is wrong because a history of pelvic inflammatory disease is not a contraindication for bilateral tubal ligation. It may increase the risk of complications from the surgery, such as infection or adhesions, but it does not prevent the procedure from being performed.
Choice C is wrong because a family history of breast cancer is not a contraindication for bilateral tubal ligation. It may affect the client’s decision to undergo the procedure, as some studies have suggested that tubal ligation may reduce the risk of ovarian cancer, which is associated with breast cancer.
However, this is not a medical reason to avoid the surgery.
Choice D is wrong because a history of endometriosis is not a contraindication for bilateral tubal ligation.
It may cause pelvic pain or infertility, but it does not affect the effectiveness or safety of the procedure. In fact, some studies have shown that tubal ligation may improve the symptoms of endometriosis by reducing retrograde menstruation.
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. “The procedure involves inserting flexible agents into your fallopian tubes.”.
These agents cause tissue to grow around them and block the tubes, preventing pregnancy.
B. “The procedure will be done under general anesthesia in an operating room.”.
The procedure does not require general anesthesia or an operating room.It can be done in an outpatient facility with local anesthesia.
C. “The procedure will make you sterile immediately after it is done.”.
The procedure does not make you sterile immediately after it is done. It takes about 3 months for the tissue to grow and occlude the tubes.You need to use another form of contraception during this time and have a test to confirm the tubal blockage.
D. “The procedure will affect your hormone levels and menstrual cycle.”.
The procedure does not affect your hormone levels or menstrual cycle.It only blocks the fallopian tubes, not the ovaries or uterus.
Full Explanation
The correct answer is choice A. The procedure involves inserting flexible agents into your fallopian tubes. These agents cause tissue to grow around them and block the tubes, preventing pregnancy.
Choice B is wrong because the procedure does not require general anesthesia or an operating room. It can be done in an outpatient facility with local anesthesia.
Choice C is wrong because the procedure does not make you sterile immediately after it is done.
It takes about 3 months for the tissue to grow and occlude the tubes. You need to use another form of contraception during this time and have a test to confirm the tubal blockage.
Choice D is wrong because the procedure does not affect your hormone levels or menstrual cycle. It only blocks the fallopian tubes, not the ovaries or uterus.