Werkblad Laboratoriumwaarden en elektrolyten met antwoorden

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Naam: ____________________   Datum: ____________

1.Makkelijk

What is the main effect of antidiuretic hormone (ADH) on the kidneys?

  1. AMore water is reabsorbed, so urine is concentrated
  2. BMore glucose is excreted, so the urine contains sugar
  3. CMore water is excreted, so the urine becomes dilute
  4. DMore potassium is reabsorbed, so the serum potassium rises
2.Makkelijk

Vitamin B12 deficiency typically causes which type of anemia?

  1. AHemolytic anemia, with destroyed red cells
  2. BMicrocytic anemia, with small red cells
  3. CAplastic anemia, with an empty bone marrow
  4. DMacrocytic anemia, with large red cells
3.Makkelijk

An eGFR below which value indicates stage 5 chronic kidney disease (kidney failure)?

  1. A90 mL/min/1,73 m²
  2. B60 mL/min/1,73 m²
  3. C15 mL/min/1,73 m²
  4. D45 mL/min/1,73 m²
4.Gemiddeld

A healthy patient has a mildly raised CK after running a marathon yesterday, without dark urine or symptoms. What is the most likely explanation?

  1. AThe patient has developed acute pancreatitis
  2. BAn acute myocardial infarction has occurred
  3. CStrenuous exercise raised CK from skeletal muscle
  4. DThe patient has developed acute hepatitis
5.Gemiddeld

Bij chronische nierziekte gaat een hoog serumfosfaat meestal samen met welke verandering in calcium?

  1. AEen hoog serumcalcium
  2. BGeen verandering in calcium
  3. CEen laag serumcalcium
  4. DAlleen een hoog serumkalium, zonder verandering in calcium
6.Gemiddeld

A patient has burning on urination and frequency. The dipstick is positive for nitrites and leukocyte esterase, and a urine culture is ordered. When should the sample be taken?

  1. ABefore the first dose of antibiotic
  2. BAfter 3 days of antibiotic treatment
  3. CAt any time, as antibiotics do not matter
  4. DAfter the symptoms have fully settled
7.Moeilijk

A patient with SIADH is on fluid restriction. Which task can the RN delegate to unlicensed assistive personnel (UAP), such as a nursing or healthcare assistant?

  1. ADeciding when to recheck the sodium level
  2. BMeasuring and recording intake and output
  3. CAssessing the patient for new confusion
  4. DTeaching the reasons for fluid restriction
8.Moeilijk

A patient on stable digoxin starts amiodarone. A week later, the patient has nausea and visual changes, and the digoxin level is above the range. What is the most likely explanation?

  1. AAmiodarone has lowered potassium only
  2. BAmiodarone has raised the digoxin level
  3. CThe patient has started a viral illness
  4. DDigoxin has raised the amiodarone level

Antwoordenblad

  1. 1. A · More water is reabsorbed, so urine is concentrated
  2. 2. D · Macrocytic anemia, with large red cells
  3. 3. C · 15 mL/min/1,73 m²
  4. 4. C · Strenuous exercise raised CK from skeletal muscle
  5. 5. C · Een laag serumcalcium
  6. 6. A · Before the first dose of antibiotic
  7. 7. B · Measuring and recording intake and output
  8. 8. B · Amiodarone has raised the digoxin level

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