The nurse taking a focused health history for a patient with ...

[jerry coleman]

The nurse taking a focused health history for a patient with possible testicular cancer will ask the patient about a history of
 
  a. testicular torsion.
  b. testicular trauma.
  c. undescended testicles.
  d. sexually transmitted infection (STI).

Question 2

When performing discharge teaching for a patient after a vasectomy, the nurse instructs the patient that he
 
  a. should continue to use other methods of birth control for 6 weeks.
  b. should not have sexual intercourse until his 6-week follow-up visit.
  c. may have temporary erectile dysfunction (ED) because of swelling.
  d. will notice a decrease in the appearance and volume of his ejaculate.

[raenoj]

Answer to Question 1

ANS: C
Cryptorchidism is a risk factor for testicular cancer if it is not corrected before puberty. STI, testicular torsion, and testicular trauma are risk factors for other testicular conditions but not for testicular cancer.

Answer to Question 2

ANS: A
Because it takes about 6 weeks to evacuate sperm that are distal to the vasectomy site, the patient should use contraception for 6 weeks. ED that occurs after vasectomy is psychologic in origin and not related to postoperative swelling. The patient does not need to abstain from intercourse. The appearance and volume of the ejaculate are not changed because sperm are a minor component of the ejaculate.