The charge nurse brings a #18 urinary catheter with a 30 mL balloon to the practical nurse (PN) who is preparing to insert a catheter in a female client who weighs 50 kg. Which action should the PN take first?
Explanation & Rationale
A. Asking the client about previous catheterizations is part of assessment, but it is not the priority when the catheter size and balloon volume may be inappropriate for the client. Safety and appropriateness must be confirmed first. B. The #18 catheter with a 30 mL balloon is larger than typically recommended for a female client, especially one weighing 50 kg. The PN should consult the charge nurse before proceeding to ensure the correct catheter size and balloon volume are used to prevent urethral trauma. C. Obtaining the syringe and sterile water is necessary for insertion but is not the first step if the catheter itself may be unsafe for the client. Ensuring correct equipment comes first. D. Positioning the client and observing the urinary meatus is part of the procedure but should not be done before confirming that the catheter size and balloon volume are appropriate.