LESSON PLAN

ON
ASSESSMENT OF URINARY SYSTEM

BY
N. Priyadarshini,
Assistant Professor,
Dept.:- Medical Surgical Nursing,
NRI College of Nursing,
Chinakakani.
 TEACHER PROFILE
NAME OF THE TEACHER : Mrs. N. Priyadarshini

COURSE : M.Sc Nursing II year

SUBJECT : Medical Surgical Nursing - II

UNIT : IV – Assessment and Diagnostic Measures

TOPIC : Assessment of Urinary System

METHOD OF TEACHING : Lecture and demonstration Method

GROUP : M.Sc Nursing II year

DATE :

TIME : 1 hour

VENUE : Medical Surgical nursing lab

AUDIO-VISUAL AIDS : OHP, blackboard, manikin

 OBJECTIVES
GENERAL OBJECTIVES:

At the end of the teaching class, the students will be able to gain complete knowledge regarding “Assessment of
Urinary System” and practice in their clinical area.

SPECIFIC OBJECTIVES:
The students will be able to:

 Introduce the urinary system.

 Explain history collection of urinary system.
 Describe medical terms related to urinary system.
 Explain physical assessment of urinary system.
 Describe collection of urine samples.
 Explain various diagnostic studies related to urinary system.
S.NO. TIME SPECIFIC TEACHER LEARNER EVALUATION
OBJECTIVE CONTENT ACTIVITY ACTIVITY
       
INTRODUCTION
1. 5 Mins Introduce about Teacher gives Student listen
Urinary System. introduction and take down
The main function of urinary system is
about urinary notes
regulation of the fluid and electrolytes system
composition of the body fluids and removal
of metabolic end products from the blood.

HISTORY COLLECTION OF URINARY

2. 10min Explain history Teacher Students listen What is the
SYSTEM
collection of explains by and take down normal voiding
using OHP notes pattern?
urinary system  Normal voiding pattern and frequency transparency
(oliguria – urinary urgency – poyluria
– anuria - dysuria –hematuria -
enuresis).
 Appearance of the urine, urine culture
and any recent changes (amount –
color).
 Normal colure yellow-straw. Family
history of kidney problems (polycystic
kidney and all types of hereditary
nephritis are genetically transmitted,
kidney and bladder calculi.
 The present illness such as pain or
burning sensation, UTI, an ostomy.
S.NO. TIME SPECIFIC TEACHER LEARNER EVALUATION
OBJECTIVE CONTENT ACTIVITY ACTIVITY
           
 Past history and current problems with
urination: (syphilis, gonorrhea, sexual
transmitted disease STD) DM and
HTN .
 Factors influencing the elimination
pattern.
 Medications: Diuretics, Psychotropic
agents , Anti-hypertensive.
         

3. 10min Describe medical MEDICAL TERMS. Teacher Student listen What is meant by
terms related to describes by and take down dysuria?
urinary system  Dysuria: painful or difficult voiding. using pamphlet notes
 Hematuria: red blood cells in the
urine.
 Urgency: strong desired to urinate due
to inflammation in bladder , prostate ,
urethra.
 Polyuria: abnormal large volume of
urine voided in given time = 2500ml.
 Oliguria: small volume of urine
between 100-500 ml.

S.NO. TIME SPECIFIC TEACHER LEARNER EVALUATION

OBJECTIVE ACTIVITY ACTIVITY
CONTENT
       Anuria: absence of urine in bladder      
less than 50 ml.
 Enuresis: involuntary voiding during
sleeping.
PHYSICAL ASSESSMENT OF Teacher Student What should be
4. 12min Explain physical URINARY SYSTEM demonstrated observes and assessed in
assessment of by using take down notes inspection of
Inspection manikin and urinary system?
urinary system
explains about
 Inspection including examination of
urinary system
abdomen and urethral meatus

 Auscultation including renal arteries

 Percussion includes the kidneys to

detect tenderness

 Palpation to detect any mass, lumps,

tenderness

Percussion of the kidney

To detect areas of tenderness by costo

vertebral test, normally will feel a thudding
sensation or pressure but not tenderness.

S.NO. TIME SPECIFIC CONTENT TEACHER LEARNER EVALUATION

OBJECTIVE ACTIVITY ACTIVITY
      PALPATION OF KIDNEY      
  Contour, size, tenderness, and lump.
In adult normal the kidneys not be
palpable because of their location deep
with abnormal.
 Elderly the right kidney is slightly
lower than the left, it may be easier to
palpate.
PERCUSSION OF THE BLADDER
 Percuss the area over the bladder
(5cm) above the symphysis pubis.
 To detect difference in sound, percuss
toward the base of the bladder.
 Percussion normally produces a
tympanic sound.
PALPATION OF BLADDER
 Normally feel firm and smooth.
 In adult bladder may not be palpable

INSPECTION OF THE URETHRAL

MEATUS.
 Look for swelling, discharge and
inflammation.

S.NO. TIME SPECIFIC CONTENT TEACHER LEARNER EVALUATION

OBJECTIVE ACTIVITY ACTIVITY
    
5. 8min  Describe COLLECTION OF URINE SAMPLES Teacher Students listens What can be
collectons of teaches by and take down evaluated in urine
urminary sstem  All urine tests are ideally performed on fresh using notes samples? 
specimens: blackboard 
 Urine container has been adequate
protection agonist bacterial
contamination and chemical
deterioration.
 Identification or labelled should be
provided.
 The patient should then be gowned for
the physical examination.
 Bring it into the dry room.
 Urine specimens should collect from
the patient means of the clean–catch
midstream technique.
 All specimens should be refrigerated
as soon as possible they are obtained
to avoid shifting of the PH of urine to
alkaline because contamination of
urea- splitting bacteria from the
environment.

S.NO. TIME SPECIFIC TEACHER LEARNER EVALUATION

OBJECTIVE CONTENT ACTIVITY ACTIVITY
 6. 15min Explain various DIAGNOSTIC STUDIES Teacher STUDENTS What are the
diagnostic studies explains by LISTEN AND various radiology
related to Diagnostic studies are important in locating using OHP take down procedures
glomerular and understanding problems of the urinary notew
disorders system. It includes
 Urine studies.
 Blood chemistries.
 Radiology procedures.
 Renal radionuclide imaging.
 Endoscopy
 Urodynamics.

CONCLUSION
 The Urinary system, in working with the lungs, skin and intestines to keep the chemicals and water in balance,
removes a type of waste called Urea from the blood. Assessment, Physical Examination and diagnostic evaluations provide
important clinical information regarding genito urinary disorders and helps for further treatment, thus preventing ailments in
health.

SUMMARY
 Explained history collection of urinary system.
 Described medical terms related to urinary system.
 Explained physical assessment of urinary system.
 Described collection of urine samples.
 Explained various diagnostic studies related to urinary system.

REFERENCES
1) Lewis. Medical Surgical Nursing Assessment and Management of Clinical Problems. ELSEVIER Publications. Page
no: 1158 – 1167.
2) Javed Ansari, Davinder Kaur. Medical Surgical Nursing – I, Edition 2013. Page no: 795 – 810.