A patient is going to have an indwelling catheter for the next few weeks as a result of postopera-tive complications. Which action does the nurse use to prevent the most common complication of an indwelling urinary catheter?
a. Maintain slight tension on the tubing.
b. Keep the collection bag several inches from the floor.
c. Empty the collection bag every 24 hours.
d. Clean the catheter from the meatus to the tubing.
D
Cleansing the indwelling urinary catheter by using circular motions from the urinary meatus to the collection bag tubing decreases the microorganism count on the catheter and prevents a uri-nary tract infection. The nurse secures the catheter to the patient's leg to prevent retrograde ca-theter movement into the bladder, which can introduce potential pathogens into the bladder and increases the risk of a urinary tract infection. The nurse keeps the urinary collection bag below the patient's hips to facilitate drainage and prevent retrograde flow of urine to the bladder. The collection bag is emptied at least every shift to prevent infection by removing a potential source of bladder contamination.
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