Care Manager Certification Practice Exam

What is the first action the nurse should take when preparing to discontinue an indwelling urinary catheter?

1. Deflate the catheter balloon using a sterile syringe.

2. Measure and document the urine in the drainage bag.

3. Remove the tape or device securing the catheter to the client's thigh.

4. Position the client supine.

The correct answer is: Position the client supine.

The correct action when preparing to discontinue an indwelling urinary catheter is to position the client supine. This positioning is important because it ensures that the client is comfortable and helps facilitate the removal of the catheter. Being supine also allows for easier access and visibility of the catheter for the nurse, thereby minimizing any potential risks of injury or difficulty during removal. Additionally, positioning the client correctly helps to minimize the strain on the bladder and surrounding structures, potentially reducing discomfort during the catheter removal process. This initial step sets a good foundation for the subsequent actions, such as deflating the balloon and removing the catheter itself, ensuring the entire procedure is performed safely and effectively. Other options are actions that will take place after the client is positioned appropriately. Measuring and documenting the urine is usually done before catheter removal in some protocols, while deflation of the balloon is an essential step but comes after positioning to ensure safety and comfort. Removing securing devices is also a later step in the process once the client is prepared and positioned correctly.