In managing a client with prolonged labor and hypotonic contractions, what action should the nurse take?

In the management of a client experiencing prolonged labor combined with hypotonic contractions, encouraging frequent voiding is crucial. This is because a full bladder can impede the descent of the fetus and potentially prolong labor further. By encouraging the client to void, the nurse helps ensure that the bladder does not contribute to any obstruction in the birth canal, which can help facilitate labor progress.

While other interventions, such as maintaining bed rest or preparing for a prescribed infusion of oxytocin, may be relevant in different contexts, encouraging the client to urinate is a proactive measure that directly addresses one of the hurdles that can exacerbate prolonged labor. Frequent repositioning may also be beneficial in certain circumstances; however, it does not directly alleviate the effects of a full bladder, which is a more immediate concern in this scenario.