Author Question: The nurse is caring for a patient whose fallopian tubes were damaged by recurrent pelvic infections ... (Read 91 times)

Deast7027 · **on:** Jul 23, 2018

The nurse is caring for a patient whose fallopian tubes were damaged by recurrent pelvic infections resulting in complete obstruction of both tubes. The patient asks the nurse, Why can't I get pregnant? What is the nurse's best response?

A) You can get pregnant but the embryo, once fertilized, cannot travel to the uterus to implant and grow.
B) The blockage of your fallopian tubes prevents the high levels of estrogen and progesterone needed to sustain the pregnancy.
C) You cannot become pregnant because damage to your fallopian tubes causes ova to stop being released from the ovary.
D) You cannot become pregnant because sperm cannot travel through the fallopian tubes to fertilize the ova released by the ovary.

Question 2

The nurse is caring for a patient whose recent ultrasound of the carotids diagnosed a 90 occlusion of the right carotid artery and a 92 occlusion of the left carotid artery.

The patient asks the nurse, If one of these arteries becomes completely occluded will I have a stroke? What is the nurse's best response? A) A common vessel receiving all blood to the head called the circle of Willis will distribute blood from other arteries to the brain as needed.
B) A stroke is caused by lack of blood supply to a part of the brain so if your right carotid artery becomes blocked you'll have a stroke on the right side of your brain.
C) It is hard to predict exactly what will happen so you'll have to wait until your provider sees you because only the provider can answer that question.
D) With only 10 of the blood needed getting through your right artery and 8 through your left artery, you could have a stroke now.

qytan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
The sperm travels through the fallopian tube to the ova, released into the abdomen near the end of one of the fallopian tubes. With both fallopian tubes blocked, no passageway exists for sperm to reach the ova. Damage to the fallopian tubes does not impact hormone secretion or ova production. Because the ova are not fertilized, there would be no embryo to travel through the fallopian tubes to implant in the uterus.

Answer to Question 2

A
Feedback:
All the arteries that supply blood to the head deliver blood to a common vessel at the bottom of the brain called the circle of Willis, which distributes the blood to the brain when it is needed. The role of the circle of Willis becomes apparent when someone has an occluded carotid artery. Although the passage of blood through one of the carotid arteries may be negligible, the areas of the brain on that side will still have a full blood supply because of the blood sent to those areas through the circle of Willis. All other options are incorrect.