A nurse is inserting an indwelling urinary catheter for a female client.
In which order should the nurse perform the following steps? (Move the steps
into the box on the right, placing them in the order of performance.
Use all the steps.).

This is because a frayed electrical cord can pose a serious risk of electric shock or fire to the client and the nurse.

The nurse should act quickly to eliminate the hazard and ensure the safety of the client and others.

Choice B is wrong because accessing the facility’s maintenance protocol is not the first action the nurse should take.

The nurse should prioritize removing the device from the room before following any protocol.

Choice C is wrong because reporting defective equipment is not the first action the nurse should take.

The nurse should prioritize removing the device from the room before reporting it to the appropriate authority.

Choice D is wrong because requesting a replacement device is not the first action the nurse should take.

The nurse should prioritize removing the device from the room before requesting a new one.

The correct answer is choice B: Explain to the client that they cannot leave until the surgeon discharges them.

Choice B rationale: The nurse should explain the importance of following the surgeon's orders and the potential consequences of leaving before being officially discharged. This approach provides patient education and promotes collaboration between the client and the health care team. It also ensures the client understands that leaving without proper discharge could lead to complications or inadequate recovery.

Choice A rationale: Threatening the client with restraints is not an appropriate action, as it may cause undue stress and escalate the situation. Restraints should only be used as a last resort in cases where the client poses an immediate risk of harm to themselves or others.

Choice C rationale: While having the client sign an against medical advice (AMA) form might be appropriate if the client insists on leaving, the nurse should first attempt to educate the client on the importance of following the surgeon's orders and collaborate with the client to resolve any concerns or issues leading to their desire to leave.

Choice D rationale: Administering a sedative medication is not an appropriate action in this situation. Sedation should only be used when medically necessary and not as a means to control a client's behavior or decisions.