NRNP 6550- Advanced Care of Adults in Acute Settings II
iHuman Ken Fowler V5 updated 2025
Week #7: Week #7 - Conditions of the Renal and Genitourinary Systems
NRNP 6550: Advanced Care of Adults in
Acute Settings II i-Human: Ken Fowler V5
FILL OUT THIS TEMPLET AS YOU GO THROUGH THE I-HUMAN PATIENT MODULE SO
YOU KNOW WHAT YOU ARE DOING AS YOU GO.
YOU ARE ALL WELCOME!!!
Name: Ken Fowler
Age: 70 years
Sex: M
Ht: 5'10" (178.0 cm)
Wgt: 190 lb (86.0 kg) (BMI 27.3)
NOTES FROM i-HUMAN ASSESSMENT:
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, 1) Observations: warm and sweaty
2) Chief complaint: Nausea and fatigue
QUESTIONS: (ask the patient up to 100 questions)
• How can I help you today? "I went to see my doctor this morning
because I have been feeling bad for the past few days. I'm tired, with
nausea & vomiting. Well, he examined me and ordered some labs, and
then told me that "kidneys are failing," something about a big change in
my creatinine and that I needed to come to the emergency department.
He told me to bring the test results here with me. [Test results today:
creatinine 3.2 mg/dL; 1 month ago Test results 1.1 mg/dL; urine protein
= 400 mg microalbuminuria]
Do you understand what all that means? I sure don't!"
• Do you have a problem with fatigue/tiredness? Yup Does your
fatigue come and go? No.
• Have you gained or lost weight or intentionally, despite normal appetite
and exercise? Uh… no.
• Have you gained weight? No.
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, • Has there been a change in your urination frequency? Actually, I have
been peening less recently.
• What is the color of urine, has it changed recently? It's usually fine, but I
have been peeing less recently
• Does anything make your fatigue/tiredness better or worse? No.
• Do you have pain anywhere? If so where? I hurt my back last week, but
that's fine now.
• Have you noticed swelling in any part of your body? No
• Can you tell me about any current or past medical problems she had? I
have high blood pressure. I take medications for that. I was told last
month my blood pressure has caused some kidney
damage. Something about my . Oh, protein in my urine about a
week ago I pulled my back lifting a heavy carton when I was cleaning out my
garage. It was pretty painful so I took something for the pain. My back is really
pretty good right now, but then this nausea vomiting began.
• Any previous medical, surgical, or dental procedures? Yes. I had my
tonsils out as a kid and then my appendix out about 35 years ago now.
• What treatments have you had for the pain in your back? Just Naproxen.
• Are you taking any prescription medications? I take lisinopril,
metoprolol, and hydrochlorothiazide for BP. I have not taken anything
for the last 24 hours because I feel so sick, can’t keep the pills down.
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, • Do you have any pain in your back? Not anymore
• When you urinate, have you noticed any pain, burning, blood, difficulty
starting or stopping, dribbling, incontinence, urgency during day or
night, or any changes in frequency? Uh, no. In fact, I am barely peeing at
all.
• When are the events surrounding the start of your difficulty urinating?
That’s not a problem
for me.
• When you pee, is a stream or flow of urine weak or do you dribble? No
• Do you have problems with nausea, vomiting, constipation, diarrhea,
coffee grounds in your vomit, dark tarry stool, bright red blood in your
bowel movements, early satiety or bloating? Yes, I have already told you
about my nausea and vomiting. But none of the other stuff. My poop is
normal
• How severe is your nausea and/or vomiting? I have not eaten much of
anything in the last three days, so I am not sure how to answer that
question. Vomiting is and miserable business so for me it is bad.
• Do you have any other symptoms or concerns we should discuss? I also
feel exhausted, probably from all the vomiting and not eating.
• When did your nausea start? It started three days ago, I woke up feeling
nauseous and started throwing up everything I ate.
Downloaded by NELSON KIIRU ()
iHuman Ken Fowler V5 updated 2025
Week #7: Week #7 - Conditions of the Renal and Genitourinary Systems
NRNP 6550: Advanced Care of Adults in
Acute Settings II i-Human: Ken Fowler V5
FILL OUT THIS TEMPLET AS YOU GO THROUGH THE I-HUMAN PATIENT MODULE SO
YOU KNOW WHAT YOU ARE DOING AS YOU GO.
YOU ARE ALL WELCOME!!!
Name: Ken Fowler
Age: 70 years
Sex: M
Ht: 5'10" (178.0 cm)
Wgt: 190 lb (86.0 kg) (BMI 27.3)
NOTES FROM i-HUMAN ASSESSMENT:
Downloaded by NELSON KIIRU ()
, 1) Observations: warm and sweaty
2) Chief complaint: Nausea and fatigue
QUESTIONS: (ask the patient up to 100 questions)
• How can I help you today? "I went to see my doctor this morning
because I have been feeling bad for the past few days. I'm tired, with
nausea & vomiting. Well, he examined me and ordered some labs, and
then told me that "kidneys are failing," something about a big change in
my creatinine and that I needed to come to the emergency department.
He told me to bring the test results here with me. [Test results today:
creatinine 3.2 mg/dL; 1 month ago Test results 1.1 mg/dL; urine protein
= 400 mg microalbuminuria]
Do you understand what all that means? I sure don't!"
• Do you have a problem with fatigue/tiredness? Yup Does your
fatigue come and go? No.
• Have you gained or lost weight or intentionally, despite normal appetite
and exercise? Uh… no.
• Have you gained weight? No.
Downloaded by NELSON KIIRU ()
, • Has there been a change in your urination frequency? Actually, I have
been peening less recently.
• What is the color of urine, has it changed recently? It's usually fine, but I
have been peeing less recently
• Does anything make your fatigue/tiredness better or worse? No.
• Do you have pain anywhere? If so where? I hurt my back last week, but
that's fine now.
• Have you noticed swelling in any part of your body? No
• Can you tell me about any current or past medical problems she had? I
have high blood pressure. I take medications for that. I was told last
month my blood pressure has caused some kidney
damage. Something about my . Oh, protein in my urine about a
week ago I pulled my back lifting a heavy carton when I was cleaning out my
garage. It was pretty painful so I took something for the pain. My back is really
pretty good right now, but then this nausea vomiting began.
• Any previous medical, surgical, or dental procedures? Yes. I had my
tonsils out as a kid and then my appendix out about 35 years ago now.
• What treatments have you had for the pain in your back? Just Naproxen.
• Are you taking any prescription medications? I take lisinopril,
metoprolol, and hydrochlorothiazide for BP. I have not taken anything
for the last 24 hours because I feel so sick, can’t keep the pills down.
Downloaded by NELSON KIIRU ()
, • Do you have any pain in your back? Not anymore
• When you urinate, have you noticed any pain, burning, blood, difficulty
starting or stopping, dribbling, incontinence, urgency during day or
night, or any changes in frequency? Uh, no. In fact, I am barely peeing at
all.
• When are the events surrounding the start of your difficulty urinating?
That’s not a problem
for me.
• When you pee, is a stream or flow of urine weak or do you dribble? No
• Do you have problems with nausea, vomiting, constipation, diarrhea,
coffee grounds in your vomit, dark tarry stool, bright red blood in your
bowel movements, early satiety or bloating? Yes, I have already told you
about my nausea and vomiting. But none of the other stuff. My poop is
normal
• How severe is your nausea and/or vomiting? I have not eaten much of
anything in the last three days, so I am not sure how to answer that
question. Vomiting is and miserable business so for me it is bad.
• Do you have any other symptoms or concerns we should discuss? I also
feel exhausted, probably from all the vomiting and not eating.
• When did your nausea start? It started three days ago, I woke up feeling
nauseous and started throwing up everything I ate.
Downloaded by NELSON KIIRU ()
