NURS 203 Foundations II Practicum

Lab Name: Assessment of Elimination and Sexuality

Total Time Allotted: 3 hours

Objectives:

 Obtain client history of urinary and bowel elimination.

 Assess male and female genitalia.
 Demonstrate proper collection and labeling of specimens.
 Assess normal and abnormal urine and stool specimens.
 Document bowel and urinary assessment, specimen collection, and nursing interventions.
 Apply the nursing process to clients with alterations in sexuality, including teaching and health
promotion.

Skills to be Performed/Topics:

 Skill 30-18 (p. 591-592) Assessing the female genital and inguinal area
 Skill 30-19 (p. 594- 595) Assessing the male genitals and inguinal area
 Skill 30-20 (p. 596-597 Assessing the anus
 Skill 34-2 (p. 732- 734) Review Collecting a urine specimen for C&S by clean catch

Pre-work Required by Students

 Complete the elimination and sexuality modules in both didactic and lab.

Elimination and Sexuality Critical Thinking Questions:

1. Rectum and Anus assessment

a. The purpose of digital examination is: to palpate solid stool in the rectum and used as a
diagnostic approach to assess the status of the male prostate gland.
2. Describe the following characteristics of normal urine:
a. Color - Straw, amber
b. Clarity - transparent
c. Odor - Faint aromatic

Berman Audrey. Kozier & Erb's Fundamentals of Nursing (2-downloads) (Fundamentals

of Nursing (Kozier)) (p. 1183). Pearson Education. Kindle Edition.
3. Describe the following types of urine specimens collected for testing:
a. Random -
b. Clean-voided or midstream - Clean-catch or midstream voided specimens are collected
when a urine culture is ordered to identify microorganisms

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 NURS 203 Foundations II Practicum

Berman Audrey. Kozier & Erb's Fundamentals of Nursing (2-downloads) (Fundamentals

of Nursing (Kozier)) (p. 732). Pearson Education. Kindle Edition.
c. Sterile - Sterile urine specimens can be obtained from closed drainage systems by
inserting a sterile needle attached to a syringe through a drainage port in the tubing.

Berman Audrey. Kozier & Erb's Fundamentals of Nursing (2-downloads) (Fundamentals

of Nursing (Kozier)) (p. 735). Pearson Education. Kindle Edition.
d. Timed urine - Some urine examinations require collection of all urine produced and
voided over a specific period of time, ranging from 1 to 2 hours to 24 hours.

Berman Audrey. Kozier & Erb's Fundamentals of Nursing (2-downloads) (Fundamentals

of Nursing (Kozier)) (p. 734). Pearson Education. Kindle Edition.
4. Common urine tests include the following. Briefly explain each:
a. Urinalysis - To determine urine composition and possible abnormal components (e.g.,
protein or glucose) or infection

Berman Audrey. Kozier & Erb's Fundamentals of Nursing (2-downloads) (Fundamentals

of Nursing (Kozier)) (p. 869). Pearson Education. Kindle Edition.
b. Specific Gravity - Specific gravity is an indicator of urine concentration, or the number of
solutes (metabolic wastes and electrolytes) present in the urine.

Berman Audrey. Kozier & Erb's Fundamentals of Nursing (2-downloads) (Fundamentals

of Nursing (Kozier)) (p. 735). Pearson Education. Kindle Edition.
c. Urine Culture - urine culture is ordered to identify microorganisms causing a urinary

Berman Audrey. Kozier & Erb's Fundamentals of Nursing (2-downloads) (Fundamentals

of Nursing (Kozier)) (p. 732). Pearson Education. Kindle Edition.
5. List factors that affect elimination to be included in a nursing history for patients with altered
elimination status: Developmental, Psychosocial, Fluid and Food Intake, Medications, Muscle
Tone, Pathologic Conditions, Surgical and Diagnostic Procedures

Berman Audrey. Kozier & Erb's Fundamentals of Nursing (2-downloads) (Fundamentals of

Nursing (Kozier)) (pp. 1176-1179). Pearson Education. Kindle Edition.
6. Describe the normal fecal characteristics
a. Color - brown

b. Odor - Aromatic: affected by ingested food and individual’s own bacterial flora
c. Consistency - Formed, soft, semisolid, moist
d. Frequency - Daily
e. Amount - Varies with diet (about 100–400 g/day)
f. Berman Audrey. Kozier & Erb's Fundamentals of Nursing (2-downloads) (Fundamentals
of Nursing (Kozier)) (p. 1213). Pearson Education. Kindle Edition.

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 NURS 203 Foundations II Practicum

g. Shape Well formed and elongated

Constituents – no visible constituents
Berman Audrey. Kozier & Erb's Fundamentals of Nursing (2-downloads) (Fundamentals
of Nursing (Kozier)) (p. 1213). Pearson Education. Kindle Edition.

7. Define fecal occult blood testing (FOBT)

Fecal occult blood testing (FOBT) is the most frequently performed fecal analysis. There are two types of
FOBT: the traditional guaiac smear (Hemoccult) and the fecal immunochemical test (FIT). A commonly
used test product to measure occult blood is the Hemoccult test, which uses a chemical reagent
(substance used in a chemical reaction to detect a specific substance). This reagent detects the presence
of the enzyme peroxidase in the hemoglobin molecule.

Berman Audrey. Kozier & Erb's Fundamentals of Nursing (2-downloads) (Fundamentals of Nursing
(Kozier)) (p. 729). Pearson Education. Kindle Edition.

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