While putting an elderly client with an indwelling urinary catheter in bed, a nurse assistant notices the tubing hanging below the bed. She places the tubing in a loop on the bed with the client and makes sure the client won’t lie on the tubing. Why does the nurse assistant do this?
  1. To inhibit drainage.
  2. To allow drainage to occur.
  3. To allow the urine to collect in the tubing.
  4. To have the client check the tubing for urine.
Explanation
Answer: B - Catheter tubing shouldn’t be allowed to develop dependent loops or kinks because this inhibits proper drainage by requiring the urine to travel against gravity to empty into the bag. Permitting the urine to collect in the tubing increases the risk of infection. Observing the catheter and tubing is the responsibility of the nursing staff, not the client.
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