Final answer:
The nurse should perform the Credé maneuver to stimulate micturition in a client with a spastic bladder after a spinal injury. This involves applying manual pressure to the lower abdomen. Other options are less effective or suitable for inducing urination.
Step-by-step explanation:
A nurse caring for a client with a spastic bladder following a spinal cord injury should implement strategies to help stimulate micturition, or urination. Of the options provided, the action that the nurse should take to facilitate this is performing the Credé maneuver. This involves the nurse applying gentle manual pressure on the lower abdomen to assist in bladder emptying. The Valsalva maneuver may also stimulate micturition but is often less effective and can increase intrathoracic pressure, which might not be appropriate depending on the client's overall health status. Stroking the client's inner thigh may inadvertently stimulate reflex micturition in some individuals with specific levels of spinal cord injuries, but it is not a standard practice for inducing urination. Administering a diuretic would increase urine production but does not directly aid in stimulating micturition in a spastic bladder. Regular monitoring and assistance in bladder management are critical components of care for patients with spinal cord injuries, ensuring their comfort and reducing the risk of complications such as urinary tract infections or bladder distention.