Problem: A client with a history of chronic viral hepatitis is brought to the emergency department with the following signs and symptoms: lethargy, yellow sclera, elevated liver enzymes, and elevated ammonia levels. What contributed to the client's current health state? Need Assignment Help? a. The client has been ingesting foods high in carbohydrates. b. The client has missed several doses of spironolactone. c. The client has been taking acetaminophen for several months. Not sure d. The client has eaten two high protein bars with a cup of coffee.