A woman who delivered a normal newborn 24 hours ago reports, "I seem to be urinating every hour or so. Is that OK?" Which action should the practical nurse (PN) implement?
Explanation & Rationale
A. Catheterize the client for residual urine volume: Catheterization is an invasive procedure and should not be the first action. It is only indicated if there are signs of urinary retention or incomplete bladder emptying after assessment. B. Measure the next voiding, then palpate the client’s bladder: Frequent urination after delivery is often normal due to postpartum diuresis as the body eliminates excess fluid retained during pregnancy. Measuring the next void and checking for bladder distention helps determine whether the urination is adequate or related to incomplete emptying. C. Obtain a specimen for urine culture and sensitivity: A culture is appropriate only if there are signs of infection such as dysuria, urgency, or fever. In this case, the client’s concern reflects frequency without other symptoms, so infection is less likely. D. Evaluate for normal involution, then massage the fundus: Fundal massage is indicated for uterine atony or excessive bleeding, not urinary frequency. The client’s symptom relates more to bladder function than uterine contraction.