A client has not voided for 8 hours following the removal of anindwelling urinary catheter. The nurse has clinically reasoned thatthe client may be experiencing urinary retention. Which of thefollowing should be the nurse’s first action?

A.

Increase fluids

B.

Perform a bladder scan

C.

Use a straight catheter to alleviate the urine retention sincethe client has not voided for 8 hours.

D.

Insert an indwelling catheter into the client.

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