A client has an indwelling urinary catheter. Which nursing a… | MyMerci
Mobility/ImmobilityBCC
Question
A client has an indwelling urinary catheter. Which nursing action helps reduce catheter-associated infection risk?
1Disconnect the drainage tubing daily to empty retained urine.
2Raise the drainage bag above bladder level during transport.
3Irrigate the catheter every shift without a prescription.
4Keep the drainage system closed and the bag below bladder level.✓ Correct answer
Explanation
A closed drainage system and keeping the bag below bladder level reduce contamination and backflow. Disconnecting the tubing and raising the bag above the bladder increase infection risk. Routine irrigation is not performed without an indication and prescription or protocol.
In-depth explanation
Clinical Judgment Use the client cues, timing, labs, and safety risks to select the response that best fits Indwelling urinary catheter care.
Memory Tip Match the strongest cue cluster to the safest nursing judgment.
KR vs US NCLEX items reward cue-based priority thinking rather than isolated recall.
Clinical scenario
Clinical Practice Guide For Indwelling urinary catheter care, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.
Caution Do not choose an action from one isolated cue when the full scenario changes priority or safety.
Key concepts
Indwelling Urinary Catheter — A tube left in the bladder to drain urine continuously.
Closed Drainage System — A catheter system kept sealed to reduce contamination.
Backflow — Reverse movement of urine that can carry organisms toward the bladder.