ورقة عمل القيم المخبرية والشوارد مع الإجابات

أي شاردة هي الشاردة الموجبة الرئيسية في السائل داخل الخلايا؟

1. Aالبوتاسيوم
2. Bالصوديوم
3. Cالكالسيوم
4. Dالكلوريد

What is a main role of albumin in the blood?

1. AIt forms the mesh that holds a blood clot together
2. BIt carries oxygen from the lungs to the tissues
3. CIt fights bacteria by engulfing them in the blood
4. DIt holds fluid in the vessels by oncotic pressure

Why is prealbumin (transthyretin) sometimes used to follow a patient's nutritional status instead of albumin?

1. AIt has a long half-life, so it changes over months
2. BIt is not affected by inflammation or liver disease
3. CIt is measured in urine, so no blood test is needed
4. DIt has a short half-life, so it changes within days

A trauma patient receives 2 L of IV crystalloid. The hemoglobin falls from 13,0 to 11,4 g/dL (130 to 114 g/L), and the vital signs are now stable. Which explanation is most likely?

1. AIncreased red cell production
2. BA sudden failure of the bone marrow
3. CDilution of the blood by the IV fluid
4. DA laboratory error in the first sample

A week after a splenectomy, a patient's platelet count is 650 × 10³/µL. What is the best interpretation?

1. AAn expected rise after splenectomy that increases clot risk
2. BA sign of new leukemia that needs immediate chemotherapy
3. CA laboratory error, because platelets fall after splenectomy
4. DA sign of iron overload from the surgery and transfusion

A patient with chronic kidney disease has a potassium of 5,6 mEq/L. Which food should the nurse advise the patient to limit?

1. ABananas
2. BApples
3. CCabbage
4. DWhite rice

A patient without symptoms has a TSH of 7,5 mIU/L on two occasions with a normal free T₄. Which term fits best?

1. AOvert primary hypothyroidism
2. BSubclinical hypothyroidism
3. CSecondary hypothyroidism
4. DSubclinical hyperthyroidism

Which patient's result should the nurse act on first?

1. APlatelets 140 × 10³/µL in a patient with mild chronic liver disease
2. BFerritin 15 ng/mL in a well patient with known iron-deficiency anemia on oral iron
3. CHemoglobin 9,6 g/dL (96 g/L) in a patient with stable chronic kidney disease
4. DHemoglobin 6,4 g/dL (64 g/L) with new chest pain and a pulse of 124/min