Author Question: What does the nurse anticipate to be the initial step in the evaluation of male infertility? a. ... (Read 16 times)

vicotolentino · **on:** Jun 27, 2018

What does the nurse anticipate to be the initial step in the evaluation of male infertility?

a. Testicular biopsy c. Semen analysis
b. Endocrine profiles d. Postcoital test

Question 2

A client who has a third-degree episiotomy is discharged from the hospital. Before she goes home, which measures to prevent constipation should be taught?

a. Ambulate frequently, eat fresh fruits and vegetables, and drink 6 to 8 glasses of water daily.
b. Do Kegel exercises daily, and drink 10 glasses of water a day.
c. Self-administer a Fleet enema until normal bowel function returns.
d. Take prescribed pain medication to relieve the discomfort of defecation.

xiaomengxian · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Semen analysis is a noninvasive diagnostic tool used to determine the most common cause of male infertility, a decrease in the functioning of the sperm. Testicular biopsy is an invasive procedure used to diagnose testicular cancer and is seldom a cause of infertility. Endocrine profiles and postcoital test are not appropriate first steps in diagnosing infertility.

Answer to Question 2

A
The main ingredients in proper bowel function and preventing constipation are activity and adequate fluids and food, especially fruits and vegetables. The episiotomy pain will decrease with exercise. Ambulation is a key ingredient for preventing constipation. Although the Kegel exercises help strengthen the perineal floor muscles, they will not prevent constipation. If a Fleet enema is used, the bowel can become dependent on external forces. Constipation is the most common adverse effect associated with analgesics.