Impaired hepatic function:
Causes a deficiency of intrinsic factor and pernicious anemia
Causes lactose intolerance
Causes gastric reflux
Causes blood drug levels to reach toxic levels
The Correct Answer is D
A. Causes a deficiency of intrinsic factor and pernicious anemia: Intrinsic factor is produced in the stomach, not the liver. Its deficiency leads to pernicious anemia.
B. Causes lactose intolerance: Lactose intolerance is due to lactase deficiency in the small intestine.
C. Causes gastric reflux: Gastroesophageal reflux is typically due to lower esophageal sphincter dysfunction.
D. Causes blood drug levels to reach toxic levels: The liver metabolizes drugs. Impaired hepatic function reduces drug clearance, leading to accumulation and potential toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Renal failure: While renal failure can affect urine output, glucose in the urine (glucosuria) and polyuria with polydipsia are not the hallmark symptoms.
B. Bladder cancer: This may cause hematuria, but it doesn’t typically cause glucosuria, increased thirst, or urination.
C. Diabetes mellitus: In diabetes mellitus, high blood glucose levels exceed the renal threshold, leading to glucose spilling into the urine, causing polyuria (due to osmotic diuresis) and polydipsia.
D. Kidney cancer: Kidney cancer may cause flank pain, hematuria, or mass, not classic symptoms of diabetes or glucosuria.
Correct Answer is D
Explanation
A. “This test will inform your provider if you are anemic.” Hemoglobin and hematocrit levels are used to assess anemia, not creatinine.
B. “This test will inform your provider if you have a thyroid disorder.” TSH and T3/T4 levels assess thyroid function, not creatinine.
C. “This test will inform your provider if you have an infection.” Infection is usually assessed by WBC count, CRP, or cultures, not creatinine.
D. “This test will inform your provider how your kidneys are functioning.” Serum creatinine is a reliable indicator of renal function; it reflects the kidney’s ability to clear waste.
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