NCLEX Practice Test

What is the next step after performing hand hygiene when inserting an indwelling urinary catheter?

1. Apply sterile gloves and place drape down

2. Advance catheter and inflate balloon

3. Use non-dominant hand to grasp penis

4. Use dominant hand to insert catheter

The correct answer is: Apply sterile gloves and place drape down

The correct choice involves applying sterile gloves and placing the drape down after performing hand hygiene when inserting an indwelling urinary catheter. This step is crucial because it establishes a sterile field, which is essential to prevent infection during the catheterization process. It ensures that both the healthcare provider and the environment are appropriately prepared to maintain sterility while handling the catheter and the area being catheterized. After the hand hygiene is completed, putting on sterile gloves prevents contamination during the procedure. The drape helps to create a clean environment and minimizes the risk of introducing pathogens, thereby safeguarding the patient against infections that can arise from improper technique. The other steps mentioned, like advancing the catheter, using hands to grasp anatomical structures, or inserting the catheter, occur after ensuring a sterile environment and preparation with sterile gloves and drape. Proper order of procedure is essential in maintaining safety and efficacy throughout the catheterization process.