Difficulty: Medium
Average Score: 64%
Simulated
Passage / Scenario
A client who has bladder distention following a vaginal birthA nurse is caring for a client who has bladder distention following a vaginal birth. Which of the following actions should the nurse take first?
Correct answer
A
Rationale
Assisting to the bathroom is the least invasive first step to relieve bladder distention. Catheterization is invasive, warm water may not ensure emptying, and sitz baths address perineal healing, not distention.