Which intervention(s) will help stimulate urination when a patient is experiencing postoperative urinary retention? (Select all that apply.)
a. Reinforcing Kegel exercises
b. Administration of bethanechol chloride (Urecholine)
c. Pouring warm water over the perineum
d. Increasing IV fluids
e. Urinary catheterization
ANS: B, C
Administration of bethanechol chloride stimulates the parasympathetic nerve, causing contraction of the detrusor urinae muscle in the bladder, usually resulting in urination. Placing the patient in the proper position to void, pouring warm water over the perineum, and running water in the sink are techniques used to assist with voiding. Although Kegel exercises may help patients with incontinence, it will not help in postoperative urinary retention. Increasing IV fluids and catheterization will not help stimulate urination.
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