Title: Perform procedures related to the urinary system.
Course: Practical Nursing III (14052-III) > Section: Mastering Nursing Competencies and Skills in the Clinical Setting

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?