What preparation should a client undertake before undergoing a vaginal examination?

Before undergoing a vaginal examination, it is important for the client to empty their bladder. This preparation helps ensure comfort during the examination and allows for a clearer view of the pelvic organs, which can be important for accurate findings. An empty bladder reduces the risk of discomfort or involuntary muscle contractions that may interfere with the examination process.

In contrast, the other options are not standard preparations for a vaginal examination. Fasting for four hours is not necessary as eating does not significantly impact the examination. Taking a sedative is typically not required unless specifically indicated by a provider for anxiety management. Applying a topical anesthetic is usually not a routine part of the preparation and would only be used in specific situations where pain relief is needed. Ensuring that the bladder is empty is the most crucial step in preparing for the examination.