NRNP 6550 Advanced Care of Adults in Acute Settings II i-
Human Ken Fowler V5 updated 2025
NRNP 6550 Advanced Care of Adults in Acute
Settings II i-Human Ken Fowler V5 updated 2025
Week #7 - Conditions of the Renal and
Genitourinary Systems
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:
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
pg. 1
, NRNP 6550 Advanced Care of Adults in Acute Settings II i-
Human Ken Fowler V5 updated 2025
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.
• 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 protein in my urine. Oh, 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
pg. 2
, NRNP 6550 Advanced Care of Adults in Acute Settings II i-
Human Ken Fowler V5 updated 2025
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.
• 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
pg. 3
, NRNP 6550 Advanced Care of Adults in Acute Settings II i-
Human Ken Fowler V5 updated 2025
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.
• What are the events surrounding this start of your nausea and
vomiting? Nothing really happened that I can think of.
• Do you have difficulty breathing? Uh… no.
• When do you fatigue start? Just the last few days.
•
• Does anything make your nausea and/or vomiting better or
worse? It does get worse when I eat, that's why I haven't eaten
much.
• What treatments have you had for nausea and/or vomiting? Nothing
• Do you have any problems with fatigue, difficulty sleeping, or
intentional weight loss or gain, fevers, or night sweats? Yeah I feel
exhausted, but I think it is because of my nausea… just keeps me
up at night. No fevers
• Does your fatigue/tiredness improve after a good night's rest? No
• What does your vomit look like? Clear or residual food particles,
but I haven't eaten for over 24 hours
• When do you nausea and/or vomiting start? It started 3 days ago,
I woke up feeling nauseous and started throwing up everything I
ate.
• Do you have diabetes? Uh… no.
pg. 4
Human Ken Fowler V5 updated 2025
NRNP 6550 Advanced Care of Adults in Acute
Settings II i-Human Ken Fowler V5 updated 2025
Week #7 - Conditions of the Renal and
Genitourinary Systems
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:
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
pg. 1
, NRNP 6550 Advanced Care of Adults in Acute Settings II i-
Human Ken Fowler V5 updated 2025
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.
• 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 protein in my urine. Oh, 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
pg. 2
, NRNP 6550 Advanced Care of Adults in Acute Settings II i-
Human Ken Fowler V5 updated 2025
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.
• 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
pg. 3
, NRNP 6550 Advanced Care of Adults in Acute Settings II i-
Human Ken Fowler V5 updated 2025
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.
• What are the events surrounding this start of your nausea and
vomiting? Nothing really happened that I can think of.
• Do you have difficulty breathing? Uh… no.
• When do you fatigue start? Just the last few days.
•
• Does anything make your nausea and/or vomiting better or
worse? It does get worse when I eat, that's why I haven't eaten
much.
• What treatments have you had for nausea and/or vomiting? Nothing
• Do you have any problems with fatigue, difficulty sleeping, or
intentional weight loss or gain, fevers, or night sweats? Yeah I feel
exhausted, but I think it is because of my nausea… just keeps me
up at night. No fevers
• Does your fatigue/tiredness improve after a good night's rest? No
• What does your vomit look like? Clear or residual food particles,
but I haven't eaten for over 24 hours
• When do you nausea and/or vomiting start? It started 3 days ago,
I woke up feeling nauseous and started throwing up everything I
ate.
• Do you have diabetes? Uh… no.
pg. 4
