The nurse is discussing the option of home care with the parents ...

[cmoore54]

The nurse is discussing the option of home care with the parents of a child with complex health care needs. Which statement indicates the need for further teaching?
 
  1. It is more expensive if we care for our child at home, as we will need caregivers..
  2. Our family might experience more stress caring for our child at home..
  3. It might become necessary to modify our home to make home care easier..
  4. If we decide on home care, we will be given training in all medications and treatments..

Question 2

A couple comes in for an infertility workup, having attempted to get pregnant for 2 years. The woman, 37, has always had irregular menstrual cycles but is otherwise healthy.
 
  The man has fathered two children from a previous marriage and had a vasectomy reversal 2 years ago. The man has had two normal semen analyses, but the sperm seem to be clumped together. What additional test is needed? a. Testicular biopsy
  b. Antisperm antibodies
  c. Follicle-stimulating hormone (FSH) level
  d. Examination for testicular infection

[Benayers]

Answer to Question 1

1
Rationale:
1. When a child with complex health care needs is cared for at home, it is actually less expensive for the health insurance company and the health care system as a whole.
2. Families will experience more stress.
3. Families might need to make home modifications to facilitate care.
4. Families will be given extensive training on medications and treatments prior to initiating the move to home care.

Answer to Question 2

C

Feedback
A A testicular biopsy would be indicated only in cases of azoospermia (no sperm cells) or severe oligospermia (low number of sperm cells).
B Antisperm antibodies are produced by a man against his own sperm. This is un-likely to be the case here, because the husband has already produced children.
C The woman has irregular menstrual cycles. The scenario does not indicate that she has had any testing related to this irregularity. Hormone analysis is per-formed to assess endocrine function of the hypothalamic-pituitary-ovarian axis when menstrual cycles are absent or irregular. Determination of blood levels of prolactin, FSH, luteinizing hormone (LH), estradiol, progesterone, and thyroid hormones may be necessary to diagnose the cause of irregular menstrual cycles.
D Examination for testicular infection would be done before semen analysis. Fur-thermore, infection would affect spermatogenesis.