California Certified Nursing Assistant (CNA) Practice Exam

What is an inappropriate action when caring for a client with an indwelling catheter?

1. Positioning the drainage bag above the bladder

2. Attaching the drainage bag to the lowest part of the side rails near the client's feet

3. Flushing the catheter with sterile water as needed

4. Keeping the area around the catheter clean

The correct answer is: Attaching the drainage bag to the lowest part of the side rails near the client's feet

Positioning the drainage bag above the bladder is inappropriate when caring for a client with an indwelling catheter. It is essential to always keep the drainage bag positioned below the level of the bladder. This positioning prevents backflow of urine, which can lead to urinary tract infections and other complications. When the bag is above the bladder, gravity does not assist in the flow of urine from the bladder to the bag, increasing the risk of stasis and infection. Attaching the drainage bag to the lowest part of the side rails near the client's feet is a proper practice, as it keeps the bag off the floor while ensuring it remains below the bladder. Flushing the catheter with sterile water as needed is an acceptable action for maintaining catheter patency when performed according to facility protocols. Keeping the area around the catheter clean is vital for preventing infection and skin irritation, contributing positively to the client's overall health and comfort.