RNPedia PNLE Nursing Practice 4 Test 1 Practice

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In a client with type I diabetes, liver disease increases the risk of hypoglycemia due to what metabolic limitation?
Correct Answer:
Decreased glycogen formation
Explanation:
Liver glycogen serves as a quick glucose reserve to keep blood sugar stable when intake is low or insulin lowers glucose. If liver disease reduces glycogen formation, the liver’s stores are smaller, so there’s less glucose available for rapid release during fasting or after insulin administration. That diminished reservoir makes it easier for blood glucose to drop to hypoglycemic levels in a client with type I diabetes. The other ideas don’t fit as well: increased gluconeogenesis would tend to raise or stabilize glucose rather than cause hypoglycemia; there’s little to no endogenous insulin production in type I diabetes, so enhanced insulin production isn’t the issue; and excessive glycogenolysis would raise blood glucose, whereas liver disease often impairs the ability to mobilize glycogen quickly.

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