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?
Explanation & Rationale
Rationale: A. Raise the head of the bed to 45° prior to insertion: The head of the bed should not be raised to 45° prior to catheter insertion. The client should be in a comfortable, supine position with the legs slightly apart to facilitate proper catheter insertion. B. Secure the catheter to the client's inner thigh: Securing the catheter to the client's inner thigh helps prevent tension on the catheter and reduces the risk of discomfort or accidental dislodgement. This is a standard practice for catheter care. C. Attach the bag to the rail of the bed: The urinary drainage bag should never be attached to the bed rail, as it could lead to the backflow of urine into the bladder, increasing the risk of infection. The bag should be placed lower than the bladder and secured to the bed frame. D. Collect a urine specimen from the drainage bag 1 hr after insertion: Urine specimens should not be collected from the drainage bag because the urine in the bag may be contaminated. A clean-catch specimen or a specimen collected directly from the catheter should be used for accurate testing.