Final answer:
Before encouraging a postoperative client to drink fluids to help with inability to void, it is paramount to first conduct an assessment. This includes checking for bladder distension, analyzing fluid balance, and considering psychological factors. If such noninvasive interventions fail, further medical evaluation may be required.
Step-by-step explanation:
A nurse is caring for a client who is 8 hours postoperative following a total hip arthroplasty and is unable to void on the bedpan. The first action the nurse should take is not immediately encouraging the client to drink fluids. Considering postoperative care guidelines, the surgical team, which includes the surgeon, nurse, and anesthesia professional, may have specific instructions for fluid management in the immediate postoperative period. Before encouraging fluid intake, it is essential to assess the reason for the inability to void, such as pain, discomfort, or other factors influencing urinary retention.
Physical challenges and certain neurological conditions can impact the ability to void, particularly in the elderly population. Therefore, assessment is the first key step. The assessment should include checking for bladder distension, reviewing fluid intake and output records, and considering factors such as pain or anxiety that may be inhibiting the ability to void.
Once a thorough assessment has been conducted and if there are no contraindications, measures such as providing privacy, running water, or repositioning may help facilitate voiding. If these measures are ineffective and urinary retention is suspected, contacting the healthcare provider for further instructions may be necessary, and this could include the use of a catheter.