Difficulty: Medium
Average Score: 88%
Simulated
A nurse is preparing a client for a pelvic examination. Which of the following actions should the nurse take?
Correct answer
C
Rationale
The correct answer is C: Instruct the client to bear down when the speculum is inserted. This action helps to relax the pelvic floor muscles, making it easier to insert the speculum. Holding the breath (A) can increase tension and discomfort. Ensuring a full bladder (B) is not necessary and can actually be uncomfortable. Placing the client in modified Sims' position (D) is used for rectal examinations, not pelvic exams.