SOLVED1078

Client reports having flulike symptoms for the past 2 weeks, including mild epigastric distress and nausea, but no vomiting. The client reports a decrease in appetite and has lost 3 lb (1.36 kg) over the past 2 weeks. Client also reports headache, malaise, fatigue, and low-grade fever. Client has missed the last week of work as a caregiver to 1- to 3-year-old children in a childcare center due to not feeling well. Lungs are clear, with no shortness of breath noted. Abdomen is soft and not distended, and bowel sounds are heard in all quadrants. Liver is slightly enlarged on palpation. Skin is pale and dry. Mucous membranes are dry. Skin tents when pinched and slowly returns to baseline. Peripheral pulses are strong, with brisk capillary refill. Lung sounds are clear bilaterally upon auscultation. Client denies shortness of breath. Vital signs: temperature, 101°F (38.3°C); heart rate, 82 beats/min; respiratory rate, 16 breaths/min; and blood pressure, 128/74 mm Hg. Client does not drink alcohol, and denies recreational IV drug use. Client is a nonsmoker, and lives with spouse and two children.
SCIENCE
HEALTH SCIENCE
NURSING

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