HESI Registered Nurse EXIT Practice Exam

What is the most appropriate action for a client who hasn't voided after a hernia repair and received 1000 mL of IV fluid?

1. Have him drink several glasses of water

2. Crede' the bladder from the bottom to the top

3. Assist him to stand by the side of the bed to void

4. Wait 2 hours and have him try to void again

The correct answer is: Assist him to stand by the side of the bed to void

When a client has not voided after receiving a significant amount of IV fluid (1000 mL) following a hernia repair, the most appropriate action is to assist him to stand by the side of the bed to void. This approach can facilitate the process of urination by utilizing gravity and promoting a natural reflex to urinate. Standing can help relax the pelvic muscles and stimulate the bladder, which may encourage the client to void more effectively compared to sitting or remaining in bed. In some cases, the surgery and anesthesia may temporarily affect the client's ability to initiate urination. Assisting the client in this manner can help address that issue, as it fosters a more conducive environment for bladder function due to the natural posture and potential relaxation of urinary sphincters. Associative actions such as providing privacy or using sensory stimuli (like running water) can further enhance the chances of successful voiding. While options such as encouraging increased oral fluid intake or waiting for an extended period may seem reasonable, they may not proactively address the issue of immediate urinary retention. In addition, methods like Credeing the bladder could also be useful but may not be the first choice due to the need for trained skill and potential discomfort or injury if not performed correctly. Therefore, assisting