Werkblad Laboratoriumwaarden en elektrolyten met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
Which findings are typical of a low serum magnesium?
AJaundice, itching and pale stools
BLoss of reflexes, flushing and slow breathing
CPolyuria, extreme thirst and pale urine
DTremor, hyperreflexia and cardiac arrhythmias
2.Makkelijk
What is the main purpose of a Gram stain?
ATo sort bacteria quickly into gram-positive or negative
BTo measure exactly how many bacteria are in the blood
CTo detect viruses in a sample of respiratory secretions
DTo test which antibiotics a bacterium is sensitive to
3.Makkelijk
What does the reticulocyte count measure?
APlatelets that are larger than normal in size
BYoung red blood cells recently released from the bone marrow
CImmature white blood cells released during infection
DOld red blood cells that are being removed by the spleen
4.Gemiddeld
A patient with central diabetes insipidus starts desmopressin. Which laboratory result is most important to monitor for an adverse effect?
ASerum potassium, which may rise too high
BSerum glucose, which may rise very high
CSerum sodium, which may fall too low
DSerum calcium, which may rise too high
5.Gemiddeld
Bij een patiënt loopt intraveneuze vloeistof in de linkeronderarm. Waar moet de verpleegkundige een bloedmonster afnemen?
AUit de andere arm
BUit de infuuscanule terwijl de vloeistof loopt
CVlak boven de infuusplaats in dezelfde arm
DUit elke ader, omdat de vloeistof de uitslagen niet beïnvloedt
6.Gemiddeld
A patient has taken hydrochlorothiazide for several years. Which laboratory change is a recognized effect of this drug?
AA fall in blood glucose
BA fall in serum calcium
CA rise in serum potassium
DA rise in serum uric acid
7.Moeilijk
At the start of a shift, the nurse reviews four new results. Which patient needs attention first?
ASodium 119 mEq/L in a patient with new confusion and vomiting
BHemoglobin 11,0 g/dL (110 g/L) in a patient with rheumatoid arthritis
CGlucose 180 mg/dL (10 mmol/L) after a meal in a patient with diabetes
DPotassium 5,2 mEq/L in a patient with stable chronic kidney disease
8.Moeilijk
A patient has macrocytic anemia with low vitamin B12 and antibodies to intrinsic factor. What does this suggest, and how is it usually treated?
AFolate deficiency, treated with folic acid only
BIron deficiency, treated with oral iron tablets
CPernicious anemia, treated with B12 injections
DHemolytic anemia, treated with blood transfusion
Antwoordenblad
1. D · Tremor, hyperreflexia and cardiac arrhythmias
2. A · To sort bacteria quickly into gram-positive or negative
3. B · Young red blood cells recently released from the bone marrow
4. C · Serum sodium, which may fall too low
5. A · Uit de andere arm
6. D · A rise in serum uric acid
7. A · Sodium 119 mEq/L in a patient with new confusion and vomiting
8. C · Pernicious anemia, treated with B12 injections
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