Werkblad Laboratoriumwaarden en elektrolyten met antwoorden

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Naam: ____________________   Datum: ____________

1.Makkelijk

Which form of bilirubin rises mainly when red cells are broken down faster than normal?

  1. AConjugated (direct)
  2. BUnconjugated (indirect)
  3. CUrine bilirubin
  4. DStool bilirubin
2.Makkelijk

Wat is een typisch referentiebereik voor serumfosfaat bij volwassenen?

  1. AOngeveer 5,5–7,5 mg/dL (1,8–2,4 mmol/L)
  2. BOngeveer 0,5–1,5 mg/dL (0,2–0,5 mmol/L)
  3. COngeveer 2,5–4,5 mg/dL (0,8–1,5 mmol/L)
  4. DOngeveer 8,5–10,5 mg/dL (2,1–2,6 mmol/L)
3.Makkelijk

In the US (NCEP ATP III) classification, which total cholesterol level is called desirable for an adult?

  1. ABelow 300 mg/dL (7,8 mmol/L)
  2. BAbove 240 mg/dL (6,2 mmol/L)
  3. CBetween 250 and 300 mg/dL (6,5–7,8 mmol/L)
  4. DBelow 200 mg/dL (5,2 mmol/L)
4.Gemiddeld

A patient with type 2 diabetes starts prednisone each morning. When is the glucose most likely to be highest?

  1. AAt midnight only
  2. BIn the afternoon and evening
  3. CIn the early morning, before the dose
  4. DThe glucose will not change
5.Gemiddeld

A patient with iron-deficiency anemia started oral iron. Which result is usually the earliest sign that treatment is working?

  1. AA fall in the mean cell volume (MCV)
  2. BA rise in the platelet count
  3. CA fall in the white cell count
  4. DA rise in the reticulocyte count
6.Gemiddeld

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. CPotassium and creatinine
  4. DCalcium and phosphate
7.Moeilijk

Ten minutes into a red cell transfusion, a patient develops fever, chills, low back pain and dark urine. After stopping the transfusion, what should the nurse do next?

  1. AKeep the IV open with normal saline using new tubing and call the provider
  2. BFlush the remaining blood through the line with the IV fluid to finish it
  3. CRestart the transfusion more slowly after giving an antipyretic drug
  4. DDiscard the blood bag and tubing in the clinical waste to stop exposure
8.Moeilijk

A nursing student has a positive interferon-gamma release assay (IGRA) for tuberculosis, no symptoms and a normal chest X-ray. What does this most likely mean?

  1. ALatent TB infection, which is not contagious
  2. BActive pulmonary TB, which is contagious
  3. CPast BCG vaccination only, with no infection
  4. DA false result, as the test does not detect TB

Antwoordenblad

  1. 1. B · Unconjugated (indirect)
  2. 2. C · Ongeveer 2,5–4,5 mg/dL (0,8–1,5 mmol/L)
  3. 3. D · Below 200 mg/dL (5,2 mmol/L)
  4. 4. B · In the afternoon and evening
  5. 5. D · A rise in the reticulocyte count
  6. 6. C · Potassium and creatinine
  7. 7. A · Keep the IV open with normal saline using new tubing and call the provider
  8. 8. A · Latent TB infection, which is not contagious

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