A nurse is planning to insert an indwelling urinary catheter for a female client. Which of the following actions should the nurse plan to take?

A. Attach the bag to the rail of the bed: Attaching the drainage bag to the bed rail places it at risk of moving with bed adjustments, causing backflow of urine or catheter tension. The bag should be secured to the bed frame below bladder level to maintain proper drainage and prevent infection. B. Collect a urine specimen from the drainage bag 1 hr after insertion: Urine specimens should never be collected from the drainage bag because the urine is not sterile once it enters the bag. If a specimen is needed, it should be obtained from the sampling port using aseptic technique to ensure accuracy and prevent contamination. C. Secure the catheter to the client’s inner thigh: Securing the catheter to the inner thigh helps prevent urethral trauma and accidental dislodgement by stabilizing the tubing. This reduces tension on the catheter and promotes comfort, making it an essential step for proper catheter maintenance. D. Raise the head of the bed to 45° prior to insertion: The head of the bed should be lowered or kept at a modest elevation to place the client in a supine position with knees flexed and hips externally rotated. A 45° elevation is unnecessary and may interfere with visualization of the urethral meatus during insertion.