NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3691025 - Anselmo Lopez
Document Preview
Unlock Full 10 Page Document Instantly.
Document Overview
History Notecard by Jerricka McCullum on case Anselmo Lopez Use this to collect your thoughts to develop a differential diagnosis list. Step 1: Write symptoms (Sx) you have identified in the appropriate column and row. Step 2: Characterize the symptoms using "OLDCARTS" (ie., Onset, Location, Characteristics...etc) in the HPI section. Step 3: Record your thoughts in the space labeled "What this means". Is the disease acute or chronic? Infectious or other?... Timing/treatments Sx= knee Sx=Burning Sx=high blood Hx Categories pain in center of pressure Sx= Sx= Sx= chest CC Provided high blood pressure How can I help I was sent here by you? the health fair nurse, and my wife wants my blood pressure checked Any other DEnies chest Denies headaches, symptoms? pain heart palpitations, dizziness. HPI Onset/events was told by doctor years ago to watch diet because blood pressure was high Location r knee stomach Duration increased intermittent unknown over the for years years Characteristics achy burning sensation Aggravating movement spicy foods no aggravating factors noted Reliving motrin OTC no b/p meds noted omeprazole 20mg Severity describes 2/10 denies any cardiac as achy related pain What this means The patient has chronic conditions including gastroesophageal reflux disease (GERD) and hypertension, as well as ongoing right knee pain consistent with arthritis. Attempt: 3691025 Report generated on 10/3/2025, 2:35:59 AM America/Denver Management Plan by Jerricka McCullum on case Anselmo Lopez S: Subjective Mr. A. Lopez is a 57-year-old male construction worker who presents for evaluation of elevated blood pressure. He lives with his wife and son and reports smoking one pack of cigarettes daily. He was advised at a recent health fair to seek medical attention after a nurse recorded an elevated blood pressure reading. He recalls being previously encouraged to make dietary changes but has not followed up with a provider unless absolutely necessary. His family history is notable for hypertension in his brother and uncle. Past medical history includes knee surgery and gastritis, currently untreated. O: Objective Vital Signs: Temperature: 98.6°F Heart Rate: 76 bpm Respiratory Rate: 18/min Blood Pressure: 170/96 mmHg Oxygen Saturation: 98% on room air General: Alert and oriented ×4 BMI: 28.8 (Overweight) Fundoscopy: Arteriovenous (AV) nicking noted Diagnostics: EKG: Normal sinus rhythm Blood tests: Within normal limits Urinalysis: Normal A: Assessment Diagnosis: Essential (Primary) Hypertension ICD-10 Code: I10 – Essential (primary) hypertension This code is used when elevated blood pressure is diagnosed without comorbid heart or kidney disease2 Additional Findings: AV nicking suggests chronic hypertensive vascular changes Overweight status and tobacco use are contributing risk factors P: Plan Lifestyle Modifications: Smoking cessation support and referral to cessation resources Initiate low-sodium, heart-healthy diet (e.g., DASH diet) Encourage regular physical activity tailored to joint health Monitoring: Begin home BP monitoring using a wrist device Record daily readings and bring log to next visit Education: Discuss risks of uncontrolled hypertension and benefits of early intervention Provide patient-friendly resources on diet and smoking cessation Follow-Up: Reevaluate blood pressure in 3 months Consider pharmacologic treatment if lifestyle changes are insufficient
Full content available after purchase or with an active subscription.
Related Products
Related Products
NR 509 Week 1 Discussion; Social Determinants of Health; Economic Stability and Healthcare Outcomes
NR 509 Week 1 Discussion; Social Determinants of Health; Education Access and Quality
NR 509 Week 1 Discussion; Social Determinants of Health; Neighborhood and Built Environment
NR 509 Week 1 Quiz - All Correct
NR 509 Week 1 Quiz - Correct Answers
NR 509 Week 1 Quiz - Correct Solutions
NR 509 Week 2 i-Human Case Preparation Guide
NR 509 Week 2 i-Human Reflection and Self-Assessment within the iHuman case
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3392878 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3468208 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3545005 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3547905 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3659478 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3664929 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3670006 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3672367 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3788274 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3788297 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3790357 - Marvin Webster
NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3914862 - Marvin Webster
NR 509 Week 2 iHuman Reflection Worksheet
NR 509 Week 2 Quiz - 100% Correct
NR 509 Week 2 Quiz - All Correct Answers
NR 509 Week 3 i-Human Assignment Preparation and Guide
NR 509 Week 3 i-Human Assignment Reflection on Uninsured Patient Care
NR 509 Week 3 i-Human Virtual Patient Encounter - Amanda Wheaton; 23 years old
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3411598 - Jenna James
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3413195 - Jenna James
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3481164 - Amanda Wheaton
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3487378 - Amanda Wheaton
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3619635 - Jenna James
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3621880 - Jenna James
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3666007 - Amanda Wheaton
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3672023 - Amanda Wheaton
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3673305 - Amanda Wheaton
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3673701 - Amanda Wheaton
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3795251 - Jenna James
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3798873 - Jenna James
NR 509 Week 3 i-Human Virtual Patient Encounter Attempt 3976528 - Jenna James
NR 509 Week 3 iHuman Virtual Patient Encounter Attempt 3548756 - Rebecca Fields
NR 509 Week 3 iHuman Virtual Patient Encounter Attempt 3548792 - Rebecca Fields
NR 509 Week 3 iHuman Virtual Patient Encounter Attempt 3554099 - Rebecca Fields
NR 509 Week 3 iHuman Virtual Patient Encounter Attempt 3924532 - Rebecca Fields
NR 509 Week 3 iHuman Virtual Patient Encounter Attempt 3924734 - Rebecca Fields
NR 509 Week 3 Quiz - All Correct
NR 509 Week 3 Quiz - All Correct.
NR 509 Week 4 Discussion; Challenging Behaviors - References
NR 509 Week 4 Discussion; Client Challenges - A Talkative Client
NR 509 Week 4 Discussion; Client Challenges - Adolescent client
NR 509 Week 4 Discussion; Client Challenges - Adolescent client reluctant to answer
NR 509 Week 4 Discussion; Client Challenges - Argumentative Encounter
NR 509 Week 4 Discussion; Client Challenges - Challenging Behaviors
NR 509 Week 4 Discussion; Client Challenges - Client displays racist or discriminatory behavior
NR 509 Week 4 Discussion; Client Challenges - Patient's Behavior Exhibits Sexism
NR 509 Week 4 Midterm - Comprehensive Test Bank with 1200+ Q&A
NR 509 Week 4 Midterm Bates Questions
NR 509 Week 4 Midterm Exam
NR 509 Week 4 Midterm Exam Practice Questions
NR 509 Week 4 Midterm Exam Practice Questions - Filled Out
NR 509 Week 4 Midterm Exam Practice Questions - Filled Out..
NR 509 Week 4 Midterm Exam.
NR 509 Week 4 Midterm Study Guide
NR 509 Week 5 iHuman Case Reflection
NR 509 Week 5 iHuman Comprehensive Encounter Preparation Guide
NR 509 Week 5 iHuman Virtual Patient - Anselmo Lopez - Attempt 3691185
NR 509 Week 5 iHuman Virtual Patient Encounter - Harvey Hoya
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3097085 - Anselmo Lopez
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3432854 - Felipa Garcia
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3432854 - Felipe Garcia
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3434313 - Felipe Garcia
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3500732 - Anselmo Lopez
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3552188 - Harvey Hoya
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3564147 - Harvey Hoya.
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3628069 - Felipe Garcia
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3690949 - Anselmo Lopez
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3692802 - Anselmo Lopez
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3811393 - Felipa Garcia
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3816706 - Felipa Garcia
NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3938119 - Harvey Hoya
NR 509 Week 5 Quiz - 100% Correct
NR 509 Week 5 Quiz - Correct Answers
NR 509 Week 5 Quiz - Correct Answers
NR 509 Week 5 Quiz - Correct Solutions
NR 509 Week 6 iHuman Virtual Patient - Bebe_Babbitt
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3028447 - Jessica Walbertz
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3105487 - Bebe Babbitt
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3235825 - Kathleen Parks
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3437569 - Kathleen Parks
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3507966 - Bebe Babbitt
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3509274 - Bebe Babbitt
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3515748 - Bebe Babbit
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3638143 - Kathleen Parks
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3697194 - Bebe Babbit
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3699537 - Bebe Babbitt
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3700373 - Bebe Babbit
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3700373 - Bebe Babbitt
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3702431 - Bebe Babbitt
NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3820443 - Kathleen Parks
NR 509 Week 6 Quiz - All Correct Answers
NR 509 Week 6 Quiz - All Correct Answers.
NR 509 Week 6 Quiz - All Correct Answers..
NR 509 Week 7 Assignment; Immersion Skills Lab
NR 509 Week 7 Assignment; Physical Assessment (Head-to-Toe) Video Outline
NR 509 Week 7 Assignment; Physical Assessment Video Exam
NR 509 Week 7 Assignment; Physical Examination Video Evaluation
NR 509 Week 7 Quiz
NR 509 Week 7 Quiz.
NR 509 Week 7 Quiz..
NR 509 Week 8 Assignment; ePortfolio.
NR 509 Week 8 Assignment; Reflection on Learning
NR 509 Week 8 Assignment; Reflection on Learning.
NR 509 Week 8 Assignment; Reflection on Learning.
NR 509 Week 8 Final Exam
NR 509 Week 8 Final Exam - Musculoskeletal Disorders MCQs and Explanations
NR 509 Week 8 Final Exam Study Questions Answers
Academic Use Notice: This resource is provided strictly as study support material to help students review concepts, understand topic structure, and prepare their own original academic work responsibly. It is not intended to be submitted directly as a student's own work.