The practical nurse (PN) is documenting the insertion of a urinary catheter for a female client with urinary retention. Which information should the PN include during the electronic documentation of the procedure? (Select all that apply.)

A. Client positioning during procedure: Documenting the client’s position ensures that proper technique was followed and provides a reference for any future catheterizations. Positioning affects comfort, access, and safety during the procedure. B. Size of urinary catheter: Recording the catheter size is essential for monitoring for trauma, ensuring appropriate drainage, and maintaining consistency with facility protocols. It also helps guide future catheter selection. C. Amount of lubricant used: While lubrication is important for comfort and reducing trauma, the exact amount used is generally not required for documentation unless facility policy specifies. The focus is on procedure safety and outcomes rather than lubricant quantity. D. Amount of urine obtained: Documenting the volume of urine drained helps assess bladder function, kidney output, and urinary retention resolution. It provides baseline data for ongoing monitoring of fluid balance. E. Appearance of urine obtained: Recording urine color, clarity, and presence of sediment or blood provides information about hydration, infection, or other urinary tract conditions and is an important component of the client’s clinical record.