While assessing the postpartal client the nurse notes that the fundus is displaced to the right. Based on this finding the nurse should:

Ask the client to void.Assess the blood pressure for hypotension.Administer oxytocin.Check for vaginal bleeding.

Explanation.

If the nurse checks the fundus and finds it to be displaced to the right or left this is an indication of a full bladder. This finding is not associated with hypotension or clots as stated in answer B. Oxytoxic drugs (Pitocin) are drugs used to contract the uterus so answer C is incorrect. It has nothing to do with displacement of the uterus. Answer D is incorrect because displacement is associated with a full bladder not vaginal bleeding.