When caring for a client with an indwelling urinary catheter, which action should the nurse take?

• A. Use clean gloves when handling the specimen port
• B. Wear sterile gloves when assessing the specimen port
• C. Change the catheter every day
• D. Clamp the catheter when not in use

Answer: (B)

Wearing sterile gloves when assessing the specimen port of an indwelling urinary catheter is essential for maintaining asepsis and preventing infection. The specimen port is a critical site where bacteria can enter the urinary tract, leading to potential urinary tract infections (UTIs). By using sterile gloves, the nurse minimizes the risk of contaminating the port and, consequently, the urine specimen that may be collected for analysis.

In scenarios involving catheter care, maintaining a sterile technique is vital because the indwelling catheter is a direct pathway to the bladder, which is normally a sterile environment. Any introduction of pathogens through non-sterile handling can compromise a client’s health. Therefore, the use of sterile gloves is a standard practice when working with any aspect of the catheter system that requires assessment or manipulation.

In contrast, using clean gloves may be appropriate for some non-invasive aspects of care but is insufficient for situations where bacteria can easily enter a sterile area like the specimen port. Regularly changing the catheter may not be necessary unless indicated as part of a specific care protocol, and clamping the catheter when not in use can lead to complications such as bladder distention or infection and is not a recommended practice.