Difficulty: Medium
Average Score: 95%
Simulated
Passage / Scenario
A client at 12 hours postpartum who has voided a total of 200 ml with a distended bladder.A nurse is caring for a client at 12 hours postpartum who has voided a total of 200 ml. Upon assessment the nurse notes that the bladder is distended. What is the priority intervention by the nurse?
Correct answer
B
Rationale
A distended bladder with low output indicates urinary retention, requiring immediate provider notification to prevent complications.