NRNP 6550 Week 7 iHuman Patient: A 43-year-old Male with a PMH of Prediabetes and Obesity

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NRNP 6550 Week 7 iHuman Patient: A 43-year-old Male with a PMH of Prediabetes and Obesity – Step-by-Step Guide

The first step before starting to write the NRNP 6550 Week 7 iHuman Patient: A 43-year-old Male with a PMH of Prediabetes and Obesity, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NRNP 6550 Week 7 iHuman Patient: A 43-year-old Male with a PMH of Prediabetes and Obesity

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last few years and review each one for credibility. Ensure that you obtain the references in the required format, for example, in APA, to save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NRNP 6550 Week 7 iHuman Patient: A 43-year-old Male with a PMH of Prediabetes and Obesity

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested in reading through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NRNP 6550 Week 7 iHuman Patient: A 43-year-old Male with a PMH of Prediabetes and Obesity

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence collected from the research, and ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between paragraphs by using transition words and a flow of ideas.

How to Write the In-text Citations for NRNP 6550 Week 7 iHuman Patient: A 43-year-old Male with a PMH of Prediabetes and Obesity

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NRNP 6550 Week 7 iHuman Patient: A 43-year-old Male with a PMH of Prediabetes and Obesity

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NRNP 6550 Week 7 iHuman Patient: A 43-year-old Male with a PMH of Prediabetes and Obesity

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

NRNP 6550 Week 7 iHuman Patient: A 43-year-old Male with a PMH of Prediabetes and Obesity Instructions

Assessing, Diagnosing, And Treating The iHuman Patient

For this Assignment, you examine this week’s i-Human patient case study and develop a treatment plan according to the patient’s diagnosis.

To prepare:

  • Review this week’s Learning Resources. Consider how to assess, diagnose, and treat the iHuman patient.
  • Access this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate to help you gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
  • Identify three to five possible conditions to consider in a differential diagnosis for the patient.
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
  • Develop a systems-based treatment plan for the patient that includes health promotion and patient education strategies.

To complete:

As you interact with this week’s i-Human patient, complete the assigned case study. 

NRNP 6550 Week 7 iHuman Patient: A 43-year-old Male with a PMH of Prediabetes and Obesity Example

A 43-year-old male with a PMH of prediabetes and obesity presents for evaluation of LLQ abdominal pain radiating to the flank associated with increased urinary frequency and nausea. Social history reveals a change in diet with the consumption of a high-protein diet. He denies changes in bowel habits, melena, hematochezia, urethral discharge, or other emptying symptoms. Physical exam shows tachycardia (106bpm), with left CVA tenderness, and mild LLQ tenderness but a negative Rovsing sign. Urinalysis shows significant hematuria.

Primary Diagnosis: Urolithiasis

System: Neuro

Diagnosis (Problem): referred flank/LLQ pain and nausea

Pending diagnostics: none

Pharmacological interventions:

Ibuprofen 600mg PO q6-8h PRN for pain control

Supportive care:

Closely monitor for red flags: confusion, lethargy, restlessness, and altered mental status (Skolarikos et al., 2025).

Inform on the significance of hydration to prevent recurrence

Encourage rest; avoid dehydration-related lightheadedness and fatigue.

HEENT

Diagnosis (Problem): deferred

Pending diagnostics: none

Pharmacological interventions: N/A

Supportive care:

Educate patient about reporting signs & symptoms of dehydration; dizziness, dry mouth, decreased urinary output

Encourage intake of water rather than acidic/caffeinated beverages that can irritate the bladder.

System: Cardiovascular

Diagnosis (Problem): tachycardia likely secondary to pain

Pending diagnostics: if tachycardia persists > 24hrs, perform an ECG

Pharmacological interventions:

Manage underlying pain with ibuprofen 600mg PO q6-8h PRN and assess volume status

Supportive care:

Closely monitor for hemodynamic instability, including syncope and hypotension

Educate the patient about fluid balance and how dehydration increases the risk of recurrence (Sowtali et al., 2022).

System: Pulmonary

Diagnosis (Problem): deferred

Pending diagnostics: none

Pharmacological interventions: none

Supportive care:

Educate the patient about deep breathing techniques for anxiety-related dyspnea during colic (Sowtali et al., 2022).

Encourage upright positioning during episodes of pain

System: Gastrointestinal

Diagnosis (Problem): nausea secondary to renal colic

Pending diagnostics: none

Pharmacological interventions:

Ondansetron 4mg PO or ODT 8 hourly PRN

Supportive care:

During recovery, eat small, frequent meals

Encourage consumption of a plant-rich, low-sodium, and moderate-protein diet (Sowtali et al., 2022).

Discourage excessive intake of proteins since high animal protein increases the risk of uric acid and calcium oxalate stones (Sowtali et al., 2022).

System: Genitourinary

Diagnosis (Problem): left-sided urolithiasis

Pending diagnostics:

Comprehensive metabolic panel

Urine culture

CT abdomen without contrast

Complete blood count (CBC), blood

Pharmacological interventions:

Tamsulosin 0.4mg PO daily to help in stone passage (Skolarikos et al., 2025).

Supportive care:

Encourage hydration targeting >2.5L (Skolarikos et al., 2025).

Advise the patient to avoid dehydration with his weight loss program

Counsel patient on preventing recurrence; adequate fluids, limit sodium, avoid oxalate-rich foods.

Refer to urology if stone>10mm, obstruction, infection, or unresolved pain after 4-6 weeks (Skolarikos et al., 2025).

Close monitoring of renal function every 3-6 months after initiation of medications.

System: Hematology

Diagnosis (Problem): hematuria from ureteral trauma

Pending diagnostics: CBC and urinalysis to monitor for anemia during follow-up

Pharmacological interventions: none

Close follow-up and monitoring for worsening hematuria

Inform on red flags to watch for: visible blood with decreased output, clot retention (Skolarikos et al., 2025).

System: Endocrine

Diagnosis (Problem): prediabetes; recent 15 lb. weight loss on high-protein diet

Pending diagnostics:

HbA1c

Comprehensive metabolic panel

Pharmacological interventions: none

Supportive care:

Counsel patient on balanced dietary options; avoid only protein-rich diets (Sowtali et al., 2022).

Schedule a nutrition consult for dietary assessment and planning; diabetic-friendly diet

Recommend lifestyle modification, including plant-based diets and physical activity

System: Infectious Disease

Diagnosis (Problem): risk of urinary tract infection and pyelonephritis

Pending diagnostics: urine culture

Pharmacological interventions: none unless infection is confirmed

Supportive care:

Educate patient on early signs of sepsis and symptoms to prompt seeking care (Skolarikos et al., 2025).

Encourage patient to monitor for red flags: rigors, chills, fevers, worsening flank pain

System: Integumentary

Diagnosis (Problem): deferred

Pending diagnostics: none

Pharmacological interventions: N/A

Supportive care:

Educate the patient on self-care with arm compresses for pain during acute episodes

Encourage the patient to monitor for signs of volume depletion, such as poor skin turgor and dry skin

Disposition: This patient was managed as an outpatient since he was stable and discharged home with nausea and pain medications and return instructions. Patient was encouraged to increase hydration and follow up with urology in 3-5 days. He was educated about the signs and symptoms of infection, obstruction, and when to seek emergency medical care. He was further provided with counseling on diet, the risks of unbalanced weight loss plans and how to prevent recurrence.

References

Skolarikos, A., Geraghty, R., Somani, B., Tailly, T., Jung, H., Neisius, A.,& Tzelves, L. (2025). European Association of urology guidelines on the diagnosis and treatment of urolithiasis. European Urology. https://doi.org/10.1016/j.eururo.2025.03.011

Sowtali, S. N., Faizal, N. F. F. M., & Baharudin, A. S. (2022). Knowledge, awareness and practice on dietary management among patients with urolithiasis: A scoping review. International Journal of Care Scholars, 5(2), 126–132. https://doi.org/10.31436/ijcs.v5i2.252