When inserting an indwelling urinary catheter in a female client, what instruction should the nurse provide?

The instruction for a female client to "bear down" during the insertion of an indwelling urinary catheter is correct because this action helps facilitate the passage of the catheter through the urethra and into the bladder. When a person bears down, it can help to open the urethra and make the insertion process smoother and less uncomfortable. It mimics the natural actions during urination, making it easier for the nurse to navigate the catheter into the appropriate position.

Encouraging relaxation and deep breathing, while also beneficial for some clients, would not specifically assist during the catheterization process in the same way that bearing down would. Advising to push as hard as possible could cause undue strain and discomfort, potentially leading to injury or complications. Instructing the client not to move does not promote any active participation in the process, which may be counterproductive in helping to position the catheter correctly.