What instruction should be included in discharge teaching for a client performing intermittent self-catheterization?

The instruction to advance the catheter 2.5 to 5 cm (1 to 2 inches) after urine begins to flow is important for ensuring proper drainage and preventing complications. This practice allows for the catheter to be fully positioned in the bladder, ensuring that all urine is able to be evacuated. Additionally, this technique helps in minimizing the risk of urinary tract infections, as it reduces the likelihood of leaving residual urine in the bladder, which can lead to infection.

Using this method also reflects a key understanding of how to effectively perform self-catheterization, as it emphasizes the importance of ensuring that the catheter is not only inserted but also adequately positioned to facilitate complete emptying. Proper technique is essential for promoting safety and comfort during the process. The other options do not align with the best practices for effective self-catheterization, as they may increase the risk of complications or do not follow the recommended procedure.