On the first day after a cesarean section, a client who is a primipara is being assisted to the bathroom for the first time. The client experiences a sudden gush of vaginal blood and notices that several blood clots are in the toilet. Which action should the practical nurse (PN) take?

A. While emptying the bladder can help the uterus contract, inserting an indwelling catheter is not the first immediate action required in this situation. B. Massaging the fundus is only necessary if the fundus is boggy. In this case, the nurse must first assess before intervening. C. Returning the client to bed can be part of the management, but it does not address the immediate need to assess and manage uterine bleeding. D. A sudden gush of blood and clots can occur when the client stands up due to pooled lochia in the vagina. The nurse should assess the fundus to ensure it is firm and midline, then monitor the amount of lochia to determine if it is within normal limits or excessive.