A nurse is caring for a client who has an indwelling catheter with a urinary drainage system. Which of the following actions should the nurse take?
Explanation & Rationale
The correct answer is: B. Secure the tubing with adhesive tape to the lower abdomen. Choice A rationale: Instructing the client to hold the drainage bag at waist height when ambulating is incorrect because the drainage bag should always be kept below the level of the bladder to prevent urine reflux, which can lead to urinary tract infections (UTIs). Choice B rationale: Securing the tubing with adhesive tape to the lower abdomen is correct as it helps to prevent accidental pulling or tugging on the catheter, maintaining its position and reducing the risk of dislodgement. Choice C rationale: Collecting a sterile specimen from the urinary drainage bag is incorrect. Specimens should be collected from the sampling port, not directly from the drainage bag, to ensure sterility. Choice D rationale: Coiling the tubing on the bed above the collection bag is incorrect as it can cause urine to flow back into the bladder, increasing the risk of infection.