A 60-year-old male patient is planning to marry a woman in her 30s and is concerned about the need for contraception. How should the nurse respond to this patient?
1. "After age 50, you are considered virtually infertile."
2. "It is still possible at this time of life to father a child."
3. "You should have a vasectomy to avoid fathering a child."
4. "You will only need to be concerned about fertility for another few years."
2. "It is still possible at this time of life to father a child."
Explanation: 1. Approximately half of all men continue to produce viable sperm up to the age of 90 years. Older men can father children.
2. Approximately half of all men continue to produce viable sperm up to the age of 90 years. Older men can father children.
3. Discussion about a vasectomy is premature at this stage. A vasectomy may not be the best option for this patient.
4. Approximately half of all men continue to produce viable sperm up to the age of 90 years. Older men can father children.
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A client with a right arm cast is experiencing signs of a serious complication. Which of the following would cause the nurse the most concern?
1. Capillary refill time less than 3 seconds 2. Finger movement 3. Itching under the cast 4. Severe pain to the right arm continues after receiving pain medication
The nurse is checking the reflexes of a neonate. In eliciting the Moro reflex, the nurse would do which of the following?
1. Stimulate the perioral cavity with a finger. 2. Clap hands, or slap the mattress. 3. Stimulate the ball of the infant's foot with firm pressure. 4. Stimulate the pads of the infant's hands with firm pressure.
MC An inmate has threatened suicide and is put at a level-three observation. This is
A. Observation every 5 to 15 minutes with placement in a safe room. B. Observation every 30 minutes awake or asleep. C. Continuous observation. D. Observation every 10 minutes while the inmate is awake and every 30 minutes while asleep.
The nurse learns that a client is being considered for a total abdominal hysterectomy. Which health problem should the nurse suspect this client is experiencing? Select all that apply
1. Small fibroids 2. Ovarian cancer 3. Cervical cancer 4. Pelvic relaxation 5. Abnormal uterine bleeding