Difficulty: Medium
Average Score: 80%
Simulated
Passage / Scenario
A client who is 14 hours postpartum with soft breasts, firm fundus slightly deviated to the right, pulse 88/min, respirations 18/minA nurse is caring for a client who is 14 hours postpartum. The nurse notes that the client's breasts are soft, the fundus is firm and slightly deviated to the right, and the client's pulse rate is 88/min with a respiratory rate of 18/min. Which of the following actions should the nurse take?
Correct answer
A
Rationale
A deviated fundus suggests a full bladder, which can be corrected by emptying it, aiding uterine involution.