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how should assessment of the urinary system begin?
by a thorough health history from the patient. The nurse enquires about family history of
renal or urological conditions (ie: polycystic kidney, medullary cystic disease) as there
are some disorders with genetic predisposition.
what will the health history establish?
the patient's normal voiding patterns and note changes including nocturia, frequency, or
an increase or decrease in the quantity of urine.
what are the type of questions asked in a urinary assessment interview? (there
are 4)
- void pattern
- description of urine and any changes
- urinary elimination problems
- factors influencing urinary elimination
what is an example question for void pattern?
- how many times do you urinate during a 24 hr period?
- has this pattern changed recently?
- do you need to get out of bed to void at night? is it often?
what is an example question for description of urine and any changes?
- How would you describe your urine in terms of colour, clarity (clear, transparent, or
cloudy), and odour (strong or faint)?
what is an example question for urinary elimination problems?
- what problems have you had or do you have passing urine?
- voiding intervals more frequent?
- painful voiding?
- difficulty starting urine stream?
what are the 4 factors for influencing urinary elimination?
- medications
- fluid intake
- environmental factors
- stress
what questions can you ask for medications influencing urinary elimination?
- do you take meds (eg BP meds) that could increase urinary output or cause retention
of urine?
what is an example question for assessment of fluid intake influencing urinary
elimination?
- what amount and kind of fluid do you have each day?
what is an example question for assessment of environmental factors influencing
urinary elimination?
- do you have any problems with toileting? (mobility, removing clothing, toilet seat too
low, abscess of grab bar)