During an interview with a 67-year-old client diagnosed with acute hepatitis B, the nurse obtains the following data: 10 kg weight loss is noted from the client's last visit 4 months ago; review of systems reveals (1)limiting fatigue, (2)not well enough for sexual intercourse, (3)drinks 3-5 mixed drinks weekly socially, (4)right upper quadrant (RUQ)pain rated at 6/10, and 5)"constant" pruritus. Which findings indicate that the client's hepatitis may have progressed to a chronic stage? Select all that apply.
A)Fatigue
B)Drinks 3-5 mixed drinks weekly socially
C)RUQ pain rated at 6/10
D)Pruritus

Question

Quizplus · Accepted Answer

A)Acute hepatitis B tends to be asymptomatic in older adults, so although fatigue, RUQ pain, and pruritus are common clinical manifestations of acute hepatitis B, this client exhibiting these symptoms is a sign that the client's condition has progressed to chronic hepatitis B, a progression that tends to happen more quickly with older adults. The client being a social drinker does not indicate anything about the progress of the client's hepatitis.
B)Acute hepatitis B tends to be asymptomatic in older adults, so although fatigue, RUQ pain, and pruritus are common clinical manifestations of acute hepatitis B, this client exhibiting these symptoms is a sign that the client's condition has progressed to chronic hepatitis B, a progression that tends to happen more quickly with older adults. The client being a social drinker does not indicate anything about the progress of the client's hepatitis.
C)Acute hepatitis B tends to be asymptomatic in older adults, so although fatigue, RUQ pain, and pruritus are common clinical manifestations of acute hepatitis B, this client exhibiting these symptoms is a sign that the client's condition has progressed to chronic hepatitis B, a progression that tends to happen more quickly with older adults. The client being a social drinker does not indicate anything about the progress of the client's hepatitis.
D)Acute hepatitis B tends to be asymptomatic in older adults, so although fatigue, RUQ pain, and pruritus are common clinical manifestations of acute hepatitis B, this client exhibiting these symptoms is a sign that the client's condition has progressed to chronic hepatitis B, a progression that tends to happen more quickly with older adults. The client being a social drinker does not indicate anything about the progress of the client's hepatitis.

During an Interview with a 67-Year-Old Client Diagnosed with Acute