A client's sperm sample analysis reveals azoospermia. The nurse would ask about the presence of which diseases in the client's history?
1. Sexually transmitted infections
2. Erectile dysfunction
3. Mumps
4. Tuberculosis
5. Atherosclerosis
1,3,4
Rationale 1: STIs are a common cause of obstruction of the vas deferens, which would result in sperm not passing into the ejaculate.
Rationale 2: ED would not result in azoospermia.
Rationale 3: Mumps and other infections may result in blockage of the vas deferens, which would prevent the passage of sperm into the ejaculate.
Rationale 4: Infections such as chronic TB may result in obstruction of the vas deferens, which could result in azoospermia.
Rationale 5: Atherosclerosis is more likely to be a reason for erectile dysfunction.
Global Rationale: STIs are a common cause of obstruction of the vas deferens, which would result in sperm not passing into the ejaculate. Mumps and other infections may result in blockage of the vas deferens, which would prevent the passage of sperm into the ejaculate. Infections such as chronic TB may result in obstruction of the vas deferens, which could result in azoospermia. ED would not result in azoospermia. Atherosclerosis is more likely to be a reason for erectile dysfunction.
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