When assessing a client with an indwelling urinary catheter, which statement reflects proper drainage bag management?

• A. The clamp on the urinary drainage bag is open
• B. The drainage bag must be kept above bladder level at all times
• C. The bag should be emptied every hour
• D. The catheter must be irrigated routinely

Answer: (A)

Unobstructed drainage into the collection bag is essential. The drain clamp on the tubing should be kept open so urine can flow by gravity into the bag. Closing the clamp blocks drainage, which can cause urine to back up in the catheter and bladder, increasing discomfort and infection risk. In proper care, the drainage bag stays below the level of the bladder, the tubing remains free of kinks, and the bag is secured to prevent pulling on the catheter. Empty the bag when it’s two-thirds full per policy, not on an hourly basis, and routine irrigation isn’t performed unless specifically ordered. Placing the bag above bladder level would promote backflow and infection.