Which patient statement is typical of data collected on patients during the prodromal stage of hepatitis?
A) "I am tired, have a low grade fever, and just don't feel right."
B) "I have gained 5 pounds over the last two weeks."
C) "My stools are clay-colored."
D) "I have left-sided abdominal pain and nausea."
A) "I am tired, have a low grade fever, and just don't feel right."
Explanation: A) The prodromal phase typically begins about 2 weeks after the initial exposure and continues until the development of jaundice. Symptoms in the prodromal phase are often vague and nonspecific and may be seen in many different types of viral illness. They may include fatigue, malaise, nausea, vomiting, low grade fever, cough, and anorexia. Weight loss may occur during this phase.
B) The prodromal phase typically begins about 2 weeks after the initial exposure and continues until the development of jaundice. Symptoms in the prodromal phase are often vague and nonspecific and may be seen in many different types of viral illness. They may include fatigue, malaise, nausea, vomiting, low grade fever, cough, and anorexia. Weight loss may occur during this phase.
C) In the icteric phase, jaundice is associated with darker urine (tea or cola colored) and lighter stools (clay colored), as the bilirubin is no longer excreted through the bile ducts to the intestines.
D) In the icteric phase, the liver is enlarged and may be tender.
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