Nursing Urinary Assessment

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Nursing Urinary Assessment

• Heather Nelson, RN

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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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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.

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Assessment of Urine

• Measure volume
• Inspect color, clarity, and volume
• Test for specific gravity, glucose, ketone
  bodies, blood, and pH

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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