The nurse at the family planning clinic conducts a male history ...

[bclement10]

The nurse at the family planning clinic conducts a male history for infertility evaluation. Which finding has the greatest implication for this patient's care?
 
  a. Practice of nightly masturbation
  b. Primary anovulation
  c. High testosterone levels
  d. Impotence due to alcohol ingestion

Question 2

A patient on a medical surgical unit has a platelet count of 90,000 per mm3. The nurse knows to include which of the following precautions in discharge instructions?
 
  a. Use a standard safety razor for shaving.
  b. Use a soft bristle toothbrush.
  c. Have aggressive dental care immediately to prevent dental caries.
  d. Do not eat fresh fruit.

[Chou]

Answer to Question 1

ANS: D
Factors affecting male infertility include impotence due to alcohol. Nightly masturbation and high testosterone levels do not have the greatest implication on male infertility in a patient with admitted alcohol issues. Primary anovulation refers to female infertility, so it is not a consideration for male infertility.

Answer to Question 2

ANS: B
The use of a soft bristle toothbrush will help prevent bleeding of the gums in a patient with thrombocytopenia. The blade of a safety razor can nick or cut the skin and cause bleeding. Dental care can cause gum bleeding. The consumption of fresh fruit is not part of bleeding precautions.

[bclement10]

Excellent

[isabelt_18]

TYSM