Which of the following clients likely faces the highest risk of an acquired hypocoagulation disorder and vitamin K deficiency? A client who:
A) Has a diagnosis of liver failure secondary to alcohol abuse
B) Has chronic renal failure as a result of type 1 diabetes mellitus
C) Is immunocompromised as a result of radiation therapy for the treatment of lung cancer
D) Has dehydration and hypokalemia resulting from Clostridium difficile–associated diarrhea
Ans: A
Feedback:
Liver disease is strongly associated with vitamin K deficiency due to decreased synthesis and impaired fat absorption. Renal failure, decreased immune function, and dehydration are not common causes of vitamin K deficiency.
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