# At the start of the shift, you are assessing an 86 year old patient who is...

###### Question:

At the start of the shift, you are assessing an 86 year old patient who is awaiting surgery for a hip repair after a fall 12 hours ago at home. You are collecting a clean-catch urine specimen, using a bedpan, as part of the preoperative preparation. You observe that when she voids, the urine odor is foul and the urine is cloudy and full of sediment. She reports some urgency but notes that she had urgency before her fall. What assessment information will you document in the chart? What additional information should you ask the patient and what else should you consider? Organize your thoughts into a SBAR communication. Who should you notify and why?

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