A nurse is caring for a client who is dying.
One of the client's family members tells the nurse, "I need to help.
What can I do?" Which of the following actions should the nurse take?

Choice A rationale

Securing the catheter helps prevent it from moving, which reduces the risk of urethral trauma and infection. Proper fixation is essential for patient safety and comfort.

Choice B rationale

Urine should not be obtained from the drainage bag for specimen collection as it may be contaminated. Fresh urine samples directly from the catheter port are more accurate.

Choice C rationale

Catheter bags should be changed based on clinical need, which can be more frequent than every 3 days. This ensures hygiene and reduces infection risks.

Choice D rationale

The drainage bag should be kept below the bladder level to prevent backflow of urine, which can lead to infection.

Choice A rationale

Administering a sedative medication to the client without their consent is unethical and can constitute medical malpractice.

Choice B rationale

Explaining to the client that they cannot leave until the surgeon discharges them is not effective if the client insists on leaving against medical advice.

Choice C rationale

Having the client sign an against medical advice form is the appropriate action to document that the client understands the risks of leaving and is choosing to do so against the medical team's recommendations.

Choice D rationale

Telling the client that the surgeon will prescribe restraints if they try to leave is coercive and not an appropriate method to manage a client's desire to leave the hospital.