Užduočių lapas tema Laboratorinės reikšmės ir elektrolitai su atsakymais

What is a typical adult reference range for total serum bilirubin?

1. AAbout 3–12 mg/dL (51–205 µmol/L)
2. BAbout 10–20 mg/dL (171–342 µmol/L)
3. CAbout 0,3–1,2 mg/dL (5–21 µmol/L)
4. DAbout 0,03–0,1 mg/dL (0,5–1,7 µmol/L)

A patient on warfarin asks what an INR of 2,0 means. Which explanation is best?

1. AYour blood clots about twice as fast as is normal
2. BYour warfarin dose is twice what it should be
3. CYour blood takes about twice as long as normal to clot
4. DYou have twice the normal number of platelets

Which gland produces thyroid-stimulating hormone (TSH)?

1. AThe thyroid gland itself
2. BThe anterior pituitary gland
3. CThe parathyroid glands
4. DThe adrenal cortex

A patient is starting atorvastatin. Which laboratory test is usually checked at baseline?

1. ABlood cultures
2. BLiver enzymes
3. CSerum lipase
4. DThyroid antibodies

Paciento šiandienos gliukozė tuščiu skrandžiu yra 98 mg/dL (5,4 mmol/L), bet HbA1c yra 8,9 % (74 mmol/mol). Koks geriausias aiškinimas?

1. AŠiandienos geras rezultatas rodo, kad diabetas gerai kontroliuojamas
2. BPacientas neserga diabetu
3. CHbA1c atspindi tik pastarąsias 24 valandas
4. DGliukozės kontrolė per pastaruosius 2–3 mėnesius buvo prasta

A patient on levothyroxine has palpitations, weight loss and a TSH of 0,05 mIU/L. What is the most likely explanation?

1. AThe patient has stopped the drug
2. BThe thyroid is now completely normal
3. CThe levothyroxine dose is too high
4. DThe levothyroxine dose is too low

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

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

A patient in hyperosmolar hyperglycemic state has a glucose of 1,050 mg/dL (58 mmol/L), very dry mucous membranes and a fast pulse. Which treatment is usually the first priority?

1. ALarge-volume IV fluid replacement
2. BOral glucose-lowering tablets
3. CStrict fluid restriction
4. DAn IV bolus of sodium bicarbonate