lOMoARcPSD|44613495
NRNP 6550 i Human Ken Fowler
Fundamental Concepts in Nursing (Arizona State University)
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NRNP 6550: Advanced Care of Adults in Acute Settings II i-
Human: Ken Fowler V5 updated 2022
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:
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
NRNP 6550: Advanced Care of Adults in Acute Settings II i-
Human: Ken Fowler V5 updated 2022
Downloaded by Samuel Wachira ndiang'ui ()
, lOMoARcPSD|44613495
NRNP 6550: Advanced Care of Adults in Acute Settings II i-
Human: Ken Fowler V5 updated 2022
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.
NRNP 6550: Advanced Care of Adults in Acute Settings II i-
Human: Ken Fowler V5 updated 2022
Downloaded by Samuel Wachira ndiang'ui ()
, lOMoARcPSD|44613495
NRNP 6550: Advanced Care of Adults in Acute Settings II i-
Human: Ken Fowler V5 updated 2022
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
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
NRNP 6550: Advanced Care of Adults in Acute Settings II i-
Human: Ken Fowler V5 updated 2022
Downloaded by Samuel Wachira ndiang'ui ()
NRNP 6550 i Human Ken Fowler
Fundamental Concepts in Nursing (Arizona State University)
Scan to open on Studocu
Studocu is not sponsored or endorsed by any college or university
Downloaded by Samuel Wachira ndiang'ui ()
, lOMoARcPSD|44613495
NRNP 6550: Advanced Care of Adults in Acute Settings II i-
Human: Ken Fowler V5 updated 2022
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:
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
NRNP 6550: Advanced Care of Adults in Acute Settings II i-
Human: Ken Fowler V5 updated 2022
Downloaded by Samuel Wachira ndiang'ui ()
, lOMoARcPSD|44613495
NRNP 6550: Advanced Care of Adults in Acute Settings II i-
Human: Ken Fowler V5 updated 2022
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.
NRNP 6550: Advanced Care of Adults in Acute Settings II i-
Human: Ken Fowler V5 updated 2022
Downloaded by Samuel Wachira ndiang'ui ()
, lOMoARcPSD|44613495
NRNP 6550: Advanced Care of Adults in Acute Settings II i-
Human: Ken Fowler V5 updated 2022
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
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
NRNP 6550: Advanced Care of Adults in Acute Settings II i-
Human: Ken Fowler V5 updated 2022
Downloaded by Samuel Wachira ndiang'ui ()
