A client presents to the emergency department with some vague symptoms. After history and physical exam, the physician is suspecting the client may have viral hepatitis
Which of the following clinical manifestations leads the nurse to suspect the client is in the prodromal period of viral hepatitis?
A) Slight jaundice in the sclera of the eyes
B) Liver tenderness on palpation
C) Onset of severe itching with skin breakdown
D) Muscle aches and pain along with fatigue
Ans: D
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The prodromal period may vary from abrupt to insidious, with general malaise, myalgia, arthralgias, easy fatigability, and severe anorexia out of proportion to the degree of illness. The icterus phase usually follows the prodromal phase within 5 to 10 days. The icterus phase can have the onset of jaundice, followed by severe pruritus and liver tenderness.
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