A client with an indwelling urinary catheter wants to walk to the lobby. Which action indicates proper understanding of catheter care during ambulation?

• A. Keep the drainage bag below the bladder at all times
• B. Unhook the bag from the drainage system to walk
• C. Carry the bag above the level of the bladder to prevent kinking
• D. Clamp the catheter during movement to prevent leakage

Answer: (A)

Maintaining proper drainage bag position to prevent backflow and maintain gravity drainage is essential. Keeping the drainage bag below the level of the bladder uses gravity to keep urine flowing into the bag and prevents urine from moving back into the bladder, which lowers infection risk and helps keep the catheter patent. During ambulation, secure the bag so it stays below the bladder at all times and is not allowed to drag on the floor or be positioned higher than the bladder. Do not disconnect the bag or carry it above the bladder, as that risks leakage and backflow. Clamping the catheter during movement can cause the bladder to become overly full and isn’t done for routine ambulation. This action shows proper understanding because it maintains continuous, gravity-assisted drainage and minimizes complications.