A family recently returned from a trip to Mexico. About one month after returning, the parents noticed that their 6-year-old child has dark urine and has been complaining of a stomachache and a poor appetite
Considering the history and clinical presentation of the child, the nurse suspects that the child may have which of the following? 1. Malaria
2. Hepatitis A
3. Hepatitis B
4. Clostridium Difficile
2
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1. A child with malaria would have constant diarrhea and fevers.
2. The clinical presentation in this scenario is that of Hepatitis A. The disease is often contracted when children travel outside of the country and ingest contaminated food or water. They may present with malaise, poor appetite, nausea, jaundice, abdominal pain, and dark urine. Children under the age of 6 may have mild or no symptoms. Children who are at risk for the disease or are traveling should receive the Hepatitis A vaccine.
3. The child would have signs of liver issues if the diagnosis was Hepatitis B.
4. The child is at low risk of contracting C. Diff in a foreign country.
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