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    Obstetricspediatrics proctored exam

    A husband is scheduled for a vasectomy in two (2) days. The nurse is reviewing the education with him and his wife. Which of the following statements by the husband indicates a need for further instructions?

    Explanation & Rationale

    A. "If I change my mind later, I know this procedure can be reversed": Although vasectomy reversals are technically possible, they are complex, expensive, and not always successful, particularly if significant time has passed since the procedure. Relying on reversal as a guarantee reflects a misunderstanding of the permanent nature of vasectomy. B. "I should limit my usual activities for about a week": Postoperative activity restriction, including avoiding heavy lifting and strenuous exercise for approximately 7 days, helps prevent bleeding, swelling, and discomfort. C. "We will need to use additional contraception initially": Sperm can remain in the vas deferens after the procedure, so alternative contraception must be used until follow-up semen analysis confirms azoospermia.. D. "I will use an ice pack to help with swelling": Applying ice to the scrotal area post-procedure reduces edema and discomfort by vasoconstriction, demonstrating proper postoperative care awareness.

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