A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan take?
Explanation & Rationale
A. Water-based lubricant should be used for urinary catheter insertion, not oil-based. Oil-based lubricants can degrade latex or silicone catheters and may increase the risk of infection or irritation. B. It is standard practice to test the balloon on an indwelling urinary catheter before insertion by inflating it with sterile water to ensure that it inflates and deflates properly. This prevents complications such as balloon rupture, improper placement, or urethral trauma during insertion. C. The urinary meatus should be cleaned with multiple sterile swabs or a sterile antiseptic solution in a circular motion from the center outward, not with just one cotton swab. This technique reduces the risk of introducing bacteria into the urinary tract and prevents infection. D. Sterile gloves are not donned until after sterile draping and preparation of the catheterization field. The nurse should first perform hand hygiene, put on clean gloves for initial cleaning, and then transition to sterile gloves just before inserting the catheter to maintain aseptic technique.