A nurse is providing care to a client with an indwelling urinary catheter. Which action by the nurse requires correction?
- A.Securing the catheter tubing to the client's inner thigh with a catheter strap
- B.Keeping the drainage bag on the bed at the same level as the bladder
- C.Cleansing the perineal area and catheter with soap and water during daily bath
- D.Ensuring the tubing has no dependent loops below the drainage bag
Show answer & rationale
Correct answer
B. Keeping the drainage bag on the bed at the same level as the bladder
Rationale
B is correct; this requires correction: The drainage bag must always be kept below the level of the bladder to allow urine to drain by gravity. Placing the bag at bladder level creates no gravitational gradient and allows urine to flow back into the bladder (backflow), increasing infection risk. A is incorrect (appropriate care): Securing the catheter to the thigh prevents traction on the urethra and is a correct practice. C is incorrect (appropriate care): Perineal and catheter hygiene with soap and water is recommended to reduce bacterial colonization. D is incorrect (appropriate care): Keeping tubing loop-free prevents pooling of urine that could cause backflow into the bladder.
Key concepts