उत्तरों सहित प्रयोगशाला मान और इलेक्ट्रोलाइट वर्कशीट

Serum creatinine comes mainly from:

1. AThe normal breakdown of creatine in muscle
2. BThe breakdown of dietary fat in the liver
3. CThe breakdown of old red cells in the spleen
4. DThe digestion of protein by gut bacteria

In iron-deficiency anemia, the transferrin saturation is usually:

1. ALow
2. BNormal
3. CHigh
4. DVariable

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 holds fluid in the vessels by oncotic pressure
4. DIt fights bacteria by engulfing them in the blood

A patient with hyperkalemia received IV regular insulin with dextrose. Which result must the nurse monitor closely over the next hours?

1. ASerum sodium, because it rises quickly
2. BHemoglobin, because insulin causes red cell loss
3. CBlood glucose, because hypoglycemia can occur
4. DSerum calcium, because it falls sharply

An older adult with chronic kidney disease takes glyburide (glibenclamide, a sulfonylurea) and has repeated low glucose readings. Why is this a concern?

1. AThe drug makes the glucose meter read falsely low
2. BThe drug causes high potassium that lowers the glucose
3. CThe drug and its metabolites build up and cause long lows
4. DThe drug stops working entirely when the kidneys fail

The heparin infusion rate was changed according to protocol. When is the aPTT usually rechecked?

1. AAbout 30 minutes after the change
2. BOnly after the infusion is stopped
3. CAbout 6 hours after the change
4. DAbout 3 days after the change

IV इंसुलिन इन्फ़्यूज़न पर रोगी का रक्त ग्लूकोज़ 65 mg/dL (3.6 mmol/L) है। सबसे अच्छी कार्रवाई क्या है?

1. Aउसी दर पर जारी रखें और चार घंटे बाद दोबारा जाँचें
2. Bकम ग्लूकोज़ के प्रोटोकॉल का पालन करें और निर्धारक को सूचित करें
3. Cइन्फ़्यूज़न रोकें और ग्लूकोज़ की दोबारा जाँच सुबह तक छोड़ दें
4. Dहृदय की रक्षा के लिए मौखिक पोटैशियम दें

A patient on long-term amiodarone has fatigue and weight gain. TSH is 11 mIU/L and the free T₄ is low. What is the most likely explanation?

1. AA normal response to amiodarone needing no action
2. BAmiodarone-induced hyperthyroidism
3. CSecondary hypothyroidism from pituitary failure
4. DAmiodarone-induced hypothyroidism