When performing discharge teaching for a patient after a vasectomy, the nurse instructs the patient that he
a. should continue to use other methods of birth control for 6 weeks.
b. should not have sexual intercourse until his 6-week follow-up visit.
c. may have temporary erectile dysfunction (ED) because of swelling.
d. will notice a decrease in the appearance and volume of his ejaculate.
ANS: A
Because it takes about 6 weeks to evacuate sperm that are distal to the vasectomy site, the patient should use contraception for 6 weeks. ED that occurs after vasectomy is psychologic in origin and not related to postoperative swelling. The patient does not need to abstain from intercourse. The appearance and volume of the ejaculate are not changed because sperm are a minor component of the ejaculate.
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