Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Gastrointestinal

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A client who has liver disease asks the nurse why he bruises so easily. Which of the following statements should the nurse include in the response?
  1. “Your liver is unable to make the proteins that are needed to make clotting factors.”
  2. “Your liver can no longer metabolize drugs and render them inactive.”
  3. “Your liver is breaking down blood cells too rapidly.”
  4. “Your liver can’t store vitamin C any longer.”
Explanation
Answer - A - “Your liver is unable to make the proteins that are needed to make clotting factors.” The liver synthesizes clotting factors I, II, VII, and X, as well as prothrombin and fibrinogen. These substances are needed for adequate clotting, so their reduction leads to increased risk for bleeding. The other substances do not address this concern.
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