A nurse is caring for a client with liver failure and is performing an assessment of the client's increased risk of bleeding. The nurse recognizes that this risk is related to the client's inability to synthesize prothrombin in the liver. What factor most likely contributes to this loss of function?
Alterations in glucose metabolism
Retention of bile salts
Inadequate production of albumin by hepatocytes
Inability of the liver to use vitamin K
The Correct Answer is D
A. Alterations in glucose metabolism are common in liver disease but are not directly linked to impaired clotting factor production.
B. Retention of bile salts causes symptoms like pruritus and jaundice, not bleeding due to prothrombin deficiency.
C. Inadequate albumin production contributes to fluid shifts and edema, not directly to impaired clotting.
D. The liver requires vitamin K to synthesize clotting factors, including prothrombin. In liver failure, impaired vitamin K utilization leads to decreased prothrombin production and increased bleeding risk.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Alterations in glucose metabolism are common in liver disease but are not directly linked to impaired clotting factor production.
B. Retention of bile salts causes symptoms like pruritus and jaundice, not bleeding due to prothrombin deficiency.
C. Inadequate albumin production contributes to fluid shifts and edema, not directly to impaired clotting.
D. The liver requires vitamin K to synthesize clotting factors, including prothrombin. In liver failure, impaired vitamin K utilization leads to decreased prothrombin production and increased bleeding risk.
Correct Answer is A
Explanation
A. Gallstones are one of the most common causes of acute pancreatitis. They can obstruct the pancreatic duct, leading to inflammation and enzyme activation within the pancreas.
B. Hypolipidemia is not associated with pancreatitis; in fact, hyperlipidemia is a known risk factor.
C. COPD is unrelated to pancreatic inflammation and is not a typical risk factor.
D. Diabetes mellitus is more often a complication of chronic pancreatitis, not a primary cause of acute pancreatitis.
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