The Nurse Is Caring for a Client Who Has a Large

question 4

Multiple Choice

The nurse is caring for a client who has a large cystocele and has not voided since admission 8 hours previously. Which of the following actions should the nurse take first?

• A)Insert a straight catheter per the PRN order.
• B)Encourage the client to increase oral fluids.
• C)Notify the health care provider of the inability to void.
• D)Assess for urinary retention.

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