Place the key actions in order for inserting an indwelling urinary catheter using aseptic technique.
Ordered Response
Choose your responses, then check the answer.
Explanation
Confirm that the catheter is indicated and prepare the client before creating the sterile field. Maintain sterility while opening the kit, gloving, and cleansing. Insert until urine return confirms bladder entry before balloon inflation. Preserve a closed system, secure the catheter, and position the drainage bag to prevent reflux and traction. Reassess daily whether the catheter remains necessary.
Correct sequence Verify and prepare → establish sterile field → cleanse → insert and confirm urine before balloon inflation → secure closed dependent drainage.
Why this is correct CAUTI prevention begins with avoiding unnecessary catheterization and continues through aseptic insertion, a closed drainage system, unobstructed flow, and prompt removal.
NCLEX decision rule If sterility is broken, replace the contaminated item. Never inflate the balloon without evidence that the catheter is in the bladder.
References
1CDC: CAUTI recommendations
2CDC: CAUTI clinical safety
CAUTI prevention at insertionThe catheter has an appropriate clinical indication. Follow the manufacturer's instructions and facility policy for insertion depth and balloon inflation.
Closed Drainage System — A sealed catheter and collection pathway that limits entry of microorganisms.
Dependent Drainage — Gravity flow maintained by keeping the collection bag below bladder level without dependent loops or obstruction.
CAUTI — A catheter-associated urinary tract infection related to an indwelling urinary catheter.