A nurse is caring for a woman who gave birth to a term neonate at 6 AM. At 4 PM, the woman has a distended bladder and is reporting pain of 5 on a scale of 1 to 10. The nurse reviews the client's output record.
1. Apply a warm, moist towel over the bladder.
2. Ask the woman to sit on the toilet while the nurse runs water from the faucet.
3. Administer Tylenol with codeine.
4. Use an in-and-out catheter to empty the bladder.
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