Before discontinuing a client's indwelling urinary catheter, what is the nurse's first step?

The first step before discontinuing a client's indwelling urinary catheter is to position the client supine. Proper positioning is essential for the client’s comfort and safety during the procedure. The supine position allows for easier access to the catheter site and helps facilitate the removal process. It also minimizes the risk of any strain or discomfort for the client.

When a catheter is removed, having the client in a supine position can help ensure that the bladder is appropriately supported and may additionally help in avoiding any potential damage to surrounding tissues. Moreover, ensuring that the client is positioned securely lays the groundwork for the subsequent steps in the procedure.

Other steps, while important, are secondary to ensuring the client is in the right position for the procedure. Explaining the process to the client can indeed alleviate anxiety and help them understand what will happen, but ensuring their physical comfort and safety comes first. Equipment readiness and checking the drainage bag's status are also necessary, but these actions follow positioning the client correctly for the catheter removal.