Werkblad Laboratoriumwaarden en elektrolyten met antwoorden

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Naam: ____________________   Datum: ____________

1.Makkelijk

Using American Diabetes Association (ADA) criteria, which HbA1c range is classed as prediabetes?

  1. A4,0–5,6% (20–38 mmol/mol)
  2. B6,5–7,5% (48–58 mmol/mol)
  3. C5,7–6,4% (39–47 mmol/mol)
  4. D8,0–9,0% (64–75 mmol/mol)
2.Makkelijk

Which gland produces thyroid-stimulating hormone (TSH)?

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

Where are urinary casts formed?

  1. AIn the kidney tubules
  2. BIn the urethra
  3. CIn the urinary bladder
  4. DIn the ureters
4.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. AAfter the symptoms have fully settled
  2. BBefore the first dose of antibiotic
  3. CAt any time, as antibiotics do not matter
  4. DAfter 3 days of antibiotic treatment
5.Gemiddeld

A patient taking empagliflozin (an SGLT2 inhibitor) has glucose in the urine but a normal blood glucose. What is the best interpretation?

  1. AA urinary tract infection
  2. BAn expected effect of the drug
  3. CA sign of kidney failure
  4. DUncontrolled diabetes needing insulin
6.Gemiddeld

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

  1. ASerum lipase
  2. BLiver enzymes
  3. CThyroid antibodies
  4. DBlood cultures
7.Moeilijk

An 82-year-old woman without a catheter has a urine culture growing bacteria, but no fever, urinary symptoms or change in mental state. What is the best interpretation?

  1. AAsymptomatic bacteriuria, usually not treated with antibiotics
  2. BContamination, so the culture must be repeated every week
  3. CA urinary tract infection that needs urgent IV antibiotics
  4. DPyelonephritis, which needs admission and IV fluids today
8.Moeilijk

A patient recovering from acute tubular necrosis now passes 4–5 L of urine a day. Which electrolyte changes should the nurse watch for?

  1. ANo changes, because the kidneys are now normal
  2. BHigh potassium and high sodium from retention
  3. CLow potassium and low sodium from urine losses
  4. DHigh calcium and high phosphate from bone loss

Antwoordenblad

  1. 1. C · 5,7–6,4% (39–47 mmol/mol)
  2. 2. C · The anterior pituitary gland
  3. 3. A · In the kidney tubules
  4. 4. B · Before the first dose of antibiotic
  5. 5. B · An expected effect of the drug
  6. 6. B · Liver enzymes
  7. 7. A · Asymptomatic bacteriuria, usually not treated with antibiotics
  8. 8. C · Low potassium and low sodium from urine losses

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