Which assessment should the home health nurse include during a routine home visit for a client who was discharged home with a suprapubic catheter?
Explanation & Rationale
A. Observing the insertion site of the suprapubic catheter is crucial to assess for signs of infection, such as redness, swelling, or drainage. Any abnormalities at the insertion site should be reported promptly for further evaluation and intervention. B. Palpating the flank area may not be directly related to the care of the suprapubic catheter unless there are specific concerns or symptoms related to the renal system that warrant assessment of the kidneys. C. While measuring abdominal girth can provide information about abdominal distention or fluid accumulation, it may not directly address the care needs related to the suprapubic catheter unless there are specific concerns related to catheter function or drainage. D. Assessing the perineal area may be relevant for clients with other types of urinary catheters (e.g., indwelling urethral catheters), but for clients with a suprapubic catheter, the focus is on the site of catheter insertion in the lower abdomen.