A nurse is reinforcing teaching with a client who has a neurogenic bladder and a prescription for intermittent urinary self-catheterizations. Which of the following statements by the client shows an understanding of the teaching?

Intermittent self-catheterization is commonly used in clients with neurogenic bladder to promote complete bladder emptying and prevent urinary retention, infection, and bladder overdistention. The procedure requires strict adherence to clean technique to reduce the risk of introducing microorganisms into the urinary tract. Proper client education includes hand hygiene, use of gloves, lubrication of the catheter, and correct timing of catheterization. Understanding these principles is essential for safe and effective self-management. Rationale: A. Waiting until the bladder is completely full is incorrect because excessive bladder distention can increase the risk of urinary tract infections and damage to bladder muscles. Intermittent catheterization is typically performed on a scheduled basis rather than waiting for full bladder sensation, especially in clients with neurogenic bladder who may have impaired sensation. B. Performing the procedure without lubricating the catheter is incorrect because lubrication reduces friction and prevents urethral trauma during insertion. Lack of lubrication increases the risk of pain, urethral irritation, and microscopic injury, which can lead to infection. Proper lubrication is a key component of safe catheterization technique. C. Securing the catheter to the leg is not part of intermittent catheterization because the catheter is removed immediately after bladder emptying. Securing a catheter is associated with indwelling Foley catheters, not intermittent self-catheterization. This statement reflects misunderstanding of the procedure. D. Wearing gloves when performing the procedure demonstrates correct understanding of infection prevention and clean technique. Gloves help reduce the risk of introducing bacteria into the urinary tract during catheter insertion. Along with hand hygiene and proper equipment use, this practice supports safe intermittent self-catheterization at home.