An older adult client reports to the ambulatory care clinic for a ...

[sarasara]

An older adult client reports to the ambulatory care clinic for a routine physical examination. During the assessment the client reports plans to marry a much younger woman in the coming weeks.
 
  The client voices concerns about his ability to father children. Which information will the nurse provide to the client?
  1. The client is facing infertility in the next few years, as the majority of older men become infertile by age 70 years.
  2. Although the production of sperm may be reduced in the older male, fathering a child is still possible with advancing age.
  3. There are no changes to fertility of a man associated with aging.
  4. Limited studies concerning the fertility of men are available and there is no definitive information available.

Question 2

During the examination of an adult male the nurse notes thick, curly hair over the pubis area, a pear-shaped scrotum, and slightly darkened skin on the penis. Based on this data, which action is appropriate?
 
  1. Ask the client about recent illnesses.
  2. Ask the client about sexual practices.
  3. Notify the healthcare provider the findings.
  4. Document the findings as normal.

[strudel15]

Answer to Question 1

Correct Answer: 2
Sperm production begins to decline with middle age but the male is still able to produce adequate quantities of viable sperm to father children. A man of age 70 is able to father children. There is adequate research available to prove the ability of older men to father children.

Answer to Question 2

Correct Answer: 4
According to Tanner's Maturation Stages in the male, the findings in this situation are appropriate for the adult male client. No further subjective information is required by the nurse. There is no need to explore medical health history relating to this normal physical appearance. The sexual practices of the client have no bearing on the normal findings. The healthcare provider does not need notification.