Author Question: A nurse is counseling a couple about fertility prior to the husband beginning chemotherapy for ... (Read 38 times)

ec501234 · **on:** Jun 28, 2018

A nurse is counseling a couple about fertility prior to the husband beginning chemotherapy for cancer. The couple wish to delay childbirth until the husband is in remission. What information from the nurse is most accurate?

A.
Donor sperm are usually used in cases such as yours.
B.
Have you considered cryopreservation of your sperm?
C.
Most chemotherapeutic drugs don't affect fertility.
D.
You shouldn't wait, because remission may not occur.

Question 2

During the initial visit with a couple in the infertility clinic, what action by the nurse is best to promote a trusting relationship?

A.
Explain the process of a workup and its sensitive nature.
B.
Give written information with a timeline of testing.
C.
Go over the cost of a workup and insurance coverage.
D.
Ask the couple if they have considered adoption as an alternative option.

dawsa925 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Many chemotherapeutic drugs affect fertility. Cryopreservation, or freezing, is used to store sperm (or ovarian tissue) for use later. This might be a viable option for this couple, and the nurse should investigate it with them. The other statements are misleading, and in the case of telling the couple that remission may not occur, will not help establish a trusting relationship.

Answer to Question 2

ANS: A
Providing an overview of the infertility workup process gives couples the information they need to make an informed decision. Because of the sensitive nature of this condition, some people may not be willing to commit to the time, expense, and involvement needed for a successful workup. To best facilitate a trusting relationship, the nurse should give the couple this information in the initial visit so there will be no surprises and so the couple can make an informed choice after considering their comfort level with the process. Written information is important after verbal explanations are given and after the nurse assesses the couple's ability to read and understand the information. Cost is an important factor but not the priority. Although a discussion about adoption may be appropriate at a later point during the infertility evaluation process, this is not the best initial strategy to promote a trusting relationship with the couple.