A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take when performing a closed intermittent irrigation?
Explanation & Rationale
Rationale: A. "Place the client in the Trendelenburg position." The Trendelenburg position is not required for intermittent irrigation. This position is typically used to increase venous return in certain medical conditions, not for urinary catheter irrigation. B. "Clamp the catheter above the specimen port." Clamping the catheter above the specimen port is not necessary for irrigation. Clamping could cause urine retention or discomfort, which is not recommended during intermittent irrigation. C. "Use a 3-mL syringe to perform the catheter irrigation." A 3-mL syringe is too small for irrigating a catheter. Typically, a larger syringe (e.g., 30-50 mL) is used to administer the irrigation solution effectively. D. "Inject the irrigation solution slowly into the catheter.” The irrigation solution should be injected slowly to avoid bladder distention and to ensure the solution flows through the catheter without causing discomfort.