A nurse is caring for a 30-year-old man who returned from the repair of a broken jaw 3 hours earlier.The client reports an urge to urinate and tried to use the urinal in the bed without success.The nurse assesses the client and notes the bladder is distended.Which actions should nurse to take? Select all that apply.
A) Call to obtain an order to catheterize the client.
B) Help the client stand to urinate.
C) Run water to encourage voiding.
D) Help the client to the bathroom.
E) Notify the surgeon immediately.
Correct Answer:
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