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