Since returning from surgery the client has not voided for 8 hours; therefore, the nurse determines it is necessary to assess the client for bladder distention
The nurse would palpate for bladder distention with the client in which of the following positions? 1. Supine with only a small pillow under their head.
2. Prone position
3. Sitting in bed at a 45-degree angle
4. Lying in a left lateral position
1
Rationale 1: The bladder, when empty, is usually not palpable. As the bladder fills, the fundus can be palpated anywhere between the symphysis pubis to the level of the umbilicus When distended the bladder will feel firm, smooth, symmetric, and non-tender. Lying supine with a small pillow under the head will allow for proper palpation of a distended bladder.
Rationale 2: Supine position is lying face down so it would be impossible to palpate the bladder.
Rationale 3: Sitting at a 45-degree angle would not allow proper palpation of the bladder.
Rationale 4: Lying in a left lateral position would not allow proper palpation of the bladder.
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