When a female client with an indwelling urinary (Foley) catheter insists on walking to the hospital lobby to visit with family members, nurse Rose teaches how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information?
A. The client sets the drainage bag on the floor while sitting down.
B. The client keeps the drainage bag below the bladder at all times.
C. The client clamps the catheter drainage tubing while visiting with the family.
D. The client loops the drainage tubing below its point of entry into the drainage bag.
Correct Answer: B. The client keeps the drainage bag below the bladder at all times.
To maintain effective drainage, the client should keep the drainage bag below the bladder; this allows the urine to flow by gravity from the bladder to the drainage bag. Make sure that the patient maintains a generous fluid intake. This helps prevent infection and irrigates the catheter naturally by increasing urinary output.
Option A: The client shouldn’t lay the drainage bag on the floor because it could become grossly contaminated. Teach the patient the importance of personal hygiene, especially the importance of careful cleaning after having bowel movements and thorough washing of hands frequently.
Option C: The client shouldn’t clamp the catheter drainage tubing because this impedes the flow of urine. Plan to change indwelling catheters only as necessary. The usual length of time between catheter changes varies and can be anywhere from 5 days to 2 weeks. The less often a catheter is changed, the less the likelihood that an infection will develop.
Option D: To promote drainage, the client may loop the drainage tubing above — not below — its point of entry into the drainage bag. Report any signs of infection promptly. These include a burning sensation and irritation at the meatus, cloudy urine, a strong odor to the urine, an elevated temperature, and chills.
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