Problem: The client is responsive but confused and frequently pulls on the urinary catheter. The nurse observes obvious hematuria in the drainage bag and notes the presence of several blood clots in the tubing. How should the nurse document this situation? Want Professional Help? Client does not know what he is doing, and he has caused bleeding to occur in the urine due to pulling on the indwelling urinary catheter. Surgery caused the client's confusion, resulting in his pulling on the catheter and hemorrhaging. Client is confused and pulls on the Foley catheter. Urine is pinkish-red with blood clots. The client was instructed not to pull on his catheter, and now there is hematuria in the tubing.