N2

BPH with stable voiding, no retention

Skilled assessment of a patient with benign prostatic hyperplasia. Voiding is at the patient’s baseline without new hesitancy or an inability to void; there is no suprapubic distension and the post-void residual is within the expected range. The stable voiding and absence of retention, compared to baseline, confirm the obstruction is not progressing to retention; voiding strategies and the signs of retention that would require urgent care were reinforced, with the patient verbalizing them correctly.

N3

Scrotum and testes without acute findings

Skilled assessment of the scrotum and testes performed with consent and a chaperone per policy in a patient with a chronic scrotal condition. There is no acute pain, no new mass, and no significant new swelling; the chronic finding is unchanged and the testicular lie is normal. The absence of acute findings, compared to baseline, confirms no new concern; testicular awareness and the warning signs of torsion and of a new mass were reinforced, with the patient verbalizing them correctly.

N4

Indwelling catheter for retention managed

Skilled assessment of a patient with an indwelling catheter for chronic retention. The catheter is patent and draining clear urine, secured without traction, and the meatus and genital skin are without infection or trauma. The functioning catheter without infection, assessed because catheter dependence carries infection and trauma risk, confirms effective management; catheter care, hydration, and the signs of a urinary infection were reinforced, with the caregiver return-demonstrating correct care (cross-reference Urinary/Renal).

N5

Post-catheter-removal voiding trial passed

Skilled assessment after removal of an indwelling catheter. The patient voided spontaneously with an adequate stream and the post-void residual is within the acceptable range without distension. The successful spontaneous voiding and acceptable residual confirm the trial passed and the bladder is emptying; the signs of recurrent retention and when to seek care were reinforced, with the patient verbalizing them correctly (cross-reference Urinary/Renal).

N6

Genital skin intact, hygiene effective

Skilled assessment of the genital skin performed with consent and a chaperone per policy in a dependent patient. The skin is intact without breakdown, excoriation, or infection and hygiene is being maintained with caregiver assistance. The intact skin with effective hygiene, assessed because dependency and moisture place the area at risk, confirms effective care; hygiene technique and the early signs of breakdown or infection were reinforced with the caregiver, who return-demonstrated correct care (detail in External Genitalia).

N7

Chronic hydrocele stable, monitored

Skilled assessment of a patient with a known hydrocele. The scrotal swelling is unchanged from baseline, non-tender, and without new mass or skin change; there is no acute pain. The stable chronic swelling without acute features, compared to baseline, confirms no concerning change; the warning signs that would warrant evaluation — rapid change, pain, or a firm mass — were reinforced, with the patient verbalizing them correctly.