Chapter 2. Patient Assessment Show
2.10 Head-to-Toe Assessment: Genitourinary AssessmentChecklist 20 provides a guide for objective and subjective data collection in a genitourinary assessment
Critical Thinking Exercises
Attributions:Figure 2.21 Illus. Urinary System by US Government is in the public domain. Figure 2.23 Closed_Urinary_Drainage by BruceBlaus is used under a CC-BY SA license. Figure 2.24 Genital Herpes by SOA Amsterdam is used under a CC- BY SA license. Figure 2.25 Nephrostomy by United States Department of Health and Human Services is in the public domain. How do you assess the urinary system?Imaging tests such as pyelogram, cystography, CT scan or ultrasound of the kidney, prostate/rectal sonogram and renal angiogram provide visibility into the urinary tract to look for blockages, tumors and other abnormalities. Cystometry and urine flow tests help doctors assess whether urinary function is normal.
What do nurses assess urine for?Ask the patient about colour of their urine. Ask about history of urinary tract infections, burning, frequency, presence of blood in urine, sediment, odour with urine, and history of kidney, renal, and genital health issues. Ask about nocturia and incomplete bladder emptying.
How is the assessment of the genitourinary system performed?The nursing assessment of the genitourinary system generally focuses on bladder function. Ask about urinary symptoms, including dysuria , urinary frequency , or urinary urgency . Dysuria is any discomfort associated with urination and often signifies a urinary tract infection.
What should you assess for the renal system?Clinically, the most practical tests to assess renal function is to get an estimate of the glomerular filtration rate (GFR) and to check for proteinuria (albuminuria). The best overall indicator of the glomerular function is the glomerular filtration rate (GFR).
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