The nurse is caring for a client following an open loop resection and fulguration of the bladder who is unable to void. Which of the following actions should the nurse implement first?
A)Insert a straight catheter and drain the bladder.
B)Assist the client to take a 15-minute sitz bath.
C)Encourage the client to drink several glasses of water.
D)Teach the client how to do isometric perineal exercises.

Question

Quizplus · Accepted Answer

Sitz baths will relax the perineal muscles and promote voiding. Although the client should be encouraged to drink fluids and Kegel exercises are helpful in the prevention of incontinence, these activities would not be helpful for a client experiencing retention.
Catheter insertion increases the risk for urinary tract infection (UTI) and should be avoided when possible.

The Nurse Is Caring for a Client Following an Open