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Nursing Urinary Assessment

Nursing Urinary Assessment. Heather Nelson, RN. Nursing History. The nurse determines: Normal voiding pattern and frequency Appearance of the urine and any recent changes Any past or current problems with urination The presence of an ostomy Factors influencing the elimination pattern.

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Nursing Urinary Assessment

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  1. Nursing Urinary Assessment Heather Nelson, RN

  2. Nursing History • The nurse determines: • Normal voiding pattern and frequency • Appearance of the urine and any recent changes • Any past or current problems with urination • The presence of an ostomy • Factors influencing the elimination pattern

  3. Physical Assessment • Percussion of the kidneys • To detect areas of tenderness and palpation for contour, size, tenderness, and lumps. • Percussion and palpation of the bladder • Examination of the urethral meatus • Look for swelling, discharge, and inflammation.

  4. Assessment of Urine • Measure volume • Inspect color, clarity, and volume • Test for specific gravity, glucose, ketone bodies, blood, and pH

  5. Diagnostic Tests • To determine urinary tract disease or disorders of other body systems influencing the production of urine • Urinalysis • Urine culture • Radiographic examinations (KUB and IVP) • Cystoscopy • Blood tests

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