Perform procedures related to the urinary system.

Performance should include

  • use of appropriate equipment and supplies
  • focused assessment of client's urinary system
    • inspection
    • palpation
    • percussion
    • observation of
      • urine
      • urination pattern
      • edema
      • hydration status
  • assistance with diagnostic procedures
    • sterile specimen
    • specific gravity and ketone bodies
    • cystoscopy
    • angiography
    • renal scan and ultrasound
    • bladder scan
  • interpretation of lab values
  • urinary catheterization, both straight and indwelling
    • insertion (straight drainage or retention)
    • irrigation
    • maintenance, including personal hygiene measures
    • obtaining a sterile specimen
    • obtaining a 24-hour specimen
    • removal
  • urine specimen collection
    • routine
    • clean catch
    • 24-hour
  • care of complex urinary-diversion devices
  • monitoring of dialysis clients.

Process/Skill Questions:

  • What steps would one follow to assess the client's urinary system?
  • How would one assist with diagnostic procedures?
  • How would one measure and record urinary output?
  • How would one perform a urinary catheterization and manage/monitor the closed system?
  • What steps would one take to collect urine specimens?
  • How would one assist with kidney dialysis?
  • How would one maintain intake and output on a client who is receiving continuous bladder irrigation?