Lembaran kerja Nilai makmal & elektrolit dengan jawapan

Lembaran kerja Nilai makmal & elektrolit percuma untuk dicetak: 8 soalan dari mudah hingga tahap peperiksaan, dengan skema jawapan. Cetak atau simpan sebagai PDF.

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Nama: ____________________   Tarikh: ____________

1.Mudah

A raised alkaline phosphatase (ALP) is most typical of:

  1. AAcute damage to the heart muscle
  2. BInflammation of the lining of the urinary bladder
  3. CLow production of hormone by the thyroid gland
  4. DBlocked bile flow or increased bone turnover
2.Mudah

Apakah julat rujukan dewasa yang lazim bagi kalsium serum keseluruhan?

  1. AKira-kira 12–16 mg/dL (3.0–4.0 mmol/L)
  2. BKira-kira 1.3–2.1 mg/dL (0.3–0.5 mmol/L)
  3. CKira-kira 8.5–10.5 mg/dL (2.1–2.6 mmol/L)
  4. DKira-kira 3.5–5.0 mg/dL (0.87–1.25 mmol/L)
3.Mudah

What is a typical adult reference range for serum chloride?

  1. AAbout 3.5–5.0 mEq/L
  2. BAbout 98–106 mEq/L
  3. CAbout 135–145 mEq/L
  4. DAbout 22–28 mEq/L
4.Sederhana

A patient starts lisinopril (an ACE inhibitor). Which laboratory values should the nurse expect to be monitored?

  1. ATSH and free T4
  2. BALT and bilirubin
  3. CCalcium and phosphate
  4. DPotassium and creatinine
5.Sederhana

How does the nurse start a 24-hour urine collection at 08:00?

  1. ASave the 08:00 urine as the first sample, then collect until 08:00 the next day
  2. BCollect only the first urine passed on waking, and repeat this the next morning
  3. CHave the patient void and discard that urine, then save all urine until 08:00 the next day
  4. DSave three samples spread across the day and discard all of the urine passed at night
6.Sederhana

A patient is on an IV insulin infusion protocol in the ICU. How often is the blood glucose usually checked?

  1. AOnce every 12 hours
  2. BOnly if symptoms occur
  3. CAbout every hour
  4. DOnce a day before breakfast
7.Sukar

Two days after bowel surgery, a patient with nasogastric suction has a distended abdomen, absent bowel sounds and muscle weakness. The potassium is 2.8 mEq/L. Which interpretation is best?

  1. AHyperkalemia from tissue damage is causing the bowel to stop
  2. BThe low potassium is due to the patient drinking too much water
  3. CThe potassium is normal for the second day after surgery
  4. DHypokalemia from gastric losses is contributing to paralytic ileus
8.Sukar

Seorang pesakit kegagalan jantung mempunyai BNP yang sangat tinggi semasa kemasukan dan kini menurun selepas rawatan diuretik. Apakah yang paling mungkin ditunjukkan oleh ini?

  1. AKegagalan buah pinggang baharu yang disebabkan oleh diuretik
  2. BBahawa diuretik mesti dihentikan serta-merta
  3. CKegagalan jantung yang bertambah teruk yang memerlukan lebih banyak cecair
  4. DRegangan pada jantung berkurang, selaras dengan pemulihan

Kunci jawapan

  1. 1. D · Blocked bile flow or increased bone turnover
  2. 2. C · Kira-kira 8.5–10.5 mg/dL (2.1–2.6 mmol/L)
  3. 3. B · About 98–106 mEq/L
  4. 4. D · Potassium and creatinine
  5. 5. C · Have the patient void and discard that urine, then save all urine until 08:00 the next day
  6. 6. C · About every hour
  7. 7. D · Hypokalemia from gastric losses is contributing to paralytic ileus
  8. 8. D · Regangan pada jantung berkurang, selaras dengan pemulihan

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