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Multiple Choice

During the insertion of a urinary catheter, the tip of the catheter touches the client's thigh. What action should the nurse take?

Maintaining a sterile field during catheter insertion is essential to prevent infection. If the catheter tip touches the client’s skin, sterility is broken because skin carries bacteria. Once sterility is compromised, you can’t salvage the procedure by wiping the tip or using antibiotics; you must start over with fresh sterile equipment. Therefore, you should discard the contaminated catheter and obtain a new sterile catheter kit and sterile gloves, then re-establish a sterile field and continue with the procedure. Prophylactic antibiotics aren’t indicated for routine catheterization, and continuing with the same contaminated kit after a breach isn’t appropriate.

Maintaining a sterile field during catheter insertion is essential to prevent infection. If the catheter tip touches the client’s skin, sterility is broken because skin carries bacteria. Once sterility is compromised, you can’t salvage the procedure by wiping the tip or using antibiotics; you must start over with fresh sterile equipment. Therefore, you should discard the contaminated catheter and obtain a new sterile catheter kit and sterile gloves, then re-establish a sterile field and continue with the procedure. Prophylactic antibiotics aren’t indicated for routine catheterization, and continuing with the same contaminated kit after a breach isn’t appropriate.