The nurse is assessing a cesarean section client who gave birth 12 hours ago. Findings include a distended abdomen with faint bowel sounds × 1 quadrant, fundus firm at umbilicus, lochia scant, rubra,...

The nurse is assessing a cesarean section client who gave birth 12 hours ago. Findings include a distended abdomen with faint bowel sounds × 1 quadrant, fundus firm at umbilicus, lochia scant, rubra, and pain rated 2 on a scale of 1 to 10. The IV and Foley catheter have been discontinued and the client received medication 3 hours ago for pain. The client can have pain medication every 3 to 4 hours. The nurse should first:

1. Give the client pain medication.

2. Have the client use the incentive spirometry.

3. Ambulate the client from the bed to the hallway and back.

4. Encourage the client to begin caring for her baby.