A nurse is planning to insert an indwelling urinary catheter for a female client. Which of the following actions should the nurse take?
Explanation & Rationale
Rationale: A. Collect a urine specimen from the drainage bag 1 hr after insertion: Collecting a specimen from the drainage bag increases the risk of contamination and infection. A sterile sample should be obtained directly from the sampling port using aseptic technique, not from the bag after urine has pooled. B. Secure the catheter to the client's inner thigh: Securing the catheter to the inner thigh prevents unnecessary movement or tugging on the urethra, which reduces trauma, discomfort, and the risk of infection. Proper catheter stabilization is a key aspect of post-insertion care for female clients. C. Attach the bag to the rail of the bed: The drainage bag should never be attached to the bed rail because this can cause backflow of urine and increase the risk of infection. The bag should be secured below the level of the bladder on the bed frame or a mobile stand to maintain gravity drainage. D. Raise the head of the bed to 45° prior to insertion: For catheter insertion, the client should be in a supine or dorsal recumbent position with knees flexed and legs apart. Elevating the head of the bed is unnecessary and may hinder proper visualization and sterile technique during catheter placement.