A client has an indwelling urinary catheter, and urine is leaking from a hole in the collection bag. Which of the following actions would be most appropriate?
  1. Cover the hole with tape.
  2. Report to the nurse immediately.
  3. Disconnect the drainage bag from the catheter and replace it with a new bag.
  4. Place a towel under the bag to prevent spillage of urine on the floor, which could cause the client to slip and fall.
Explanation
Answer: B - The system is no longer a closed system, and bacteria might have been introduced into the system; the nurse assistant should report to the nurse immediately for the removal of the catheter and insertion of a new one using sterile technique. Placing a towel under the bag and taping up the hole leave the system open, which increases the risk for infection. Replacing the drainage bag is not recommended due to the limitations of the duties of the nurse assistant and the increased risk of infection.
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