4.Describe how you would examine the follow-
ing areas of the urinary system when perform-
ing a physical assessment.
a.Kidneys:b.Bladder:c. Urethral orifice:d.Skin integrity and hydration:e.Urine:5.Briefly describe the procedure for determining
the specific gravity of urine with a urinometer
or hydrometer.6.List four expected outcomes that denote
normal voiding in a patient.
a.
b.
c.
d.
7.Explain how the following factors influence a
patient’s voiding patterns.
a.Schedule:b.Privacy:c. Position:d.Hygiene:8.List three reasons for catheterization.
a.
b.
c.9.List two expected outcomes for a patient with
a urinary appliance.
a.
b.APPLYING YOUR KNOWLEDGE
CRITICAL THINKING QUESTIONS
1.Develop a teaching plan to teach a postsurgical
patient and his wife how to insert and care for
a Foley catheter in a home setting. What factors
are likely to influence the success of your teach-
ing plan?
2.Keep a record of your fluid intake and output
for 3 days. Note how your intake influenced
urinary elimination. Write down the factors
that could affect urine elimination. Are you at
risk for urinary problems? If possible, perform
routine tests on a sample of your urine and
record the results.REFLECTIVE PRACTICE USING CRITICAL
THINKING SKILLS
Use the following expanded scenario from
Chapter 37 in your textbook to answer the
questions below.
Scenario:Midori Morita, age 69, is taking care
of her 70-year-old husband at home. She states,
“I’d like to talk with my husband’s doctor about
getting him a urinary catheter. Ever since he
came back from the hospital this last time, he
seems unable to use the urinal. He dribbles con-
stantly and I can’t keep up with the laundry. He
had a catheter in the hospital and I’m going to
request that he has one at home.”
1.How might the nurse respond to Mrs. Morita’s
remarks regarding her husband’s home care?2.What would be a successful outcome for this
patient?248 UNIT VII PROMOTING HEALTHY PHYSIOLOGIC RESPONSES
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