While caring for a patient with an indwelling catheter, which intervention(s) is/are important for the nurse to include in the plan of care? (select all that apply.)
a. Observe tube placement and note the level of urine in the collection bag.
b. Keep the drainage bag even with the level of the bed.
c. Avoid ambulation until the catheter is discontinued.
d. Use a syringe to deflate the balloon before discontinuing the catheter.
e. Clean the meatus and catheter with soap and water.
A, D, E
The nurse should observe tube placement and urine levels, utilize a syringe to deflate the balloon prior to removing the catheter, and perform catheter care with soap and water. The drainage bag should be kept lower than the bed to prevent backflow of urine into the bag (which could lead to an infection). As long as the bag position is maintained below catheter insertion site, the patient can ambulate unless otherwise contraindicated.
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