Scheda di esercizi di Valori di laboratorio ed elettroliti con soluzioni
Scheda di esercizi di Valori di laboratorio ed elettroliti gratuita e stampabile: 8 esercizi dal livello facile a quello d’esame, con le soluzioni. Stampala o salvala come PDF.
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Nome: ____________________ Data: ____________
1.Facile
What is a "critical value" (panic value) in laboratory reporting?
AA result so abnormal that it may threaten life and needs prompt action
BA result that is normal but differs from the patient's last value
CAny result that is slightly outside the laboratory reference range
DA result that the laboratory could not measure because of a bad sample
2.Facile
What does a "stat" laboratory order mean?
AThe test is done next week
BThe test is done if time allows
CThe test is done at night
DThe test is done immediately
3.Facile
A patient on warfarin asks what an INR of 2,0 means. Which explanation is best?
AYour blood clots about twice as fast as is normal
BYou have twice the normal number of platelets
CYour warfarin dose is twice what it should be
DYour blood takes about twice as long as normal to clot
4.Media
A patient's potassium is unexpectedly 5,8 mEq/L. The sample was taken after the tourniquet was on for several minutes while the patient pumped their fist. What is the best interpretation?
AThe result confirms true hyperkalemia and needs no further checking
BThe result may be falsely high and should be repeated with better technique
CTourniquet time affects only the glucose result, not the potassium
DFist pumping lowers potassium, so the true level is even higher
5.Media
A patient with type 2 diabetes starts prednisone each morning. When is the glucose most likely to be highest?
AIn the early morning, before the dose
BIn the afternoon and evening
CThe glucose will not change
DAt midnight only
6.Media
A nurse has a needlestick injury from a patient with unknown HIV status. Which test is usually done for the nurse as soon as possible?
AA serum lipase test
BA sweat chloride test
CA baseline HIV test
DA thyroid panel test
7.Difficile
A frail older adult in a nursing home has been drinking very little during a heat wave. She is confused, and her sodium is 158 mEq/L. Which treatment would the nurse expect?
AStrict fluid restriction to below 800 mL a day
BRapid infusion of 3% saline to raise the volume
CA loop diuretic to remove the extra sodium quickly
DGradual replacement of free water over many hours
8.Difficile
Un paziente in infusione di eparina ha una conta piastrinica che scende da 260 a 110 × 10³/µL al giorno 7. Quale azione è più appropriata?
ASegnalarlo subito: è possibile una trombocitopenia indotta da eparina
BSomministrare una trasfusione di piastrine e continuare l'eparina
CContinuare l'infusione e aumentare la velocità secondo protocollo
DNon fare nulla, perché la conta è ancora appena sopra 100 × 10³/µL
Soluzioni
1. A · A result so abnormal that it may threaten life and needs prompt action
2. D · The test is done immediately
3. D · Your blood takes about twice as long as normal to clot
4. B · The result may be falsely high and should be repeated with better technique
5. B · In the afternoon and evening
6. C · A baseline HIV test
7. D · Gradual replacement of free water over many hours
8. A · Segnalarlo subito: è possibile una trombocitopenia indotta da eparina
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