A nurse is counseling a couple about fertility prior to the husband beginning chemotherapy for cancer. The couple wish to delay childbirth until the husband is in remission. What information from the nurse is most accurate?
A.
"Donor sperm are usually used in cases such as yours."
B.
"Have you considered cryopreservation of your sperm?"
C.
"Most chemotherapeutic drugs don't affect fertility."
D.
"You shouldn't wait, because remission may not occur."
ANS: B
Many chemotherapeutic drugs affect fertility. Cryopreservation, or freezing, is used to store sperm (or ovarian tissue) for use later. This might be a viable option for this couple, and the nurse should investigate it with them. The other statements are misleading, and in the case of telling the couple that remission may not occur, will not help establish a trusting relationship.
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