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    Med Surg 2 Proctored ExamQuestion 64
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    Med Surg 2 Proctored Exam

    The nurse is providing preoperative education to a client prior to having an orchiectomy for testicular cancer. What statement by the client indicates the need to review the information?

    Explanation & Rationale

    A. "There should be no effect on my ability to reproduce".: Removal of one testis can reduce sperm production, and in some cases, fertility may be affected, particularly if there is preexisting testicular dysfunction or if the remaining testis is compromised. The client may require sperm banking or fertility counseling prior to surgery, indicating the need to clarify misconceptions. B. "I can still function with one of my testes".: A single healthy testis is usually sufficient to produce testosterone and maintain normal sexual function, including libido and erectile ability. This reflects accurate understanding of physiological function after unilateral orchiectomy. C. "Testicular self-exam will be important on the remaining testis".: Ongoing testicular self-examination is critical for early detection of cancer in the remaining testis. Emphasizing this point ensures the client understands the importance of monitoring for recurrence or new malignancy, which is appropriate education. D. "I will investigate sperm banking before the operation".: Exploring sperm banking demonstrates awareness of potential fertility issues and proactive planning. This reflects correct understanding of preoperative considerations for clients undergoing orchiectomy.

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