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
A. Attach the bag to the rail of the bed is incorrect. The drainage bag should always be hung on the bed frame below the level of the bladder, never on the side rail, to prevent urine backflow and infection. B. Collect a urine specimen from the drainage bag 1 hr after insertion is incorrect. Specimens should be obtained directly from the catheter using the sampling port, not from the drainage bag, to avoid contamination and ensure an accurate culture or urinalysis. C. Raise the head of the bed to 45° prior to insertion is incorrect. For female catheterization, the client should be in the supine position with knees flexed and legs apart to allow proper visualization of the urethral meatus. Raising the head is unnecessary and can make insertion more difficult. D. Secure the catheter to the client's inner thigh is correct. Securing the catheter prevents tension on the urethra, trauma, and accidental dislodgement. It also reduces the risk of infection and discomfort. The catheter should be secured without pulling or causing pressure on the urethra.