Werkblad Laboratoriumwaarden en elektrolyten met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
Wat is een typisch referentiebereik voor serumkalium bij volwassenen?
A3,5–5,0 mEq/L
B6,0–8,0 mEq/L
C1,3–2,1 mEq/L
D135–145 mEq/L
2.Makkelijk
Which fasting plasma glucose meets the usual diagnostic threshold for diabetes when confirmed on a second test?
A200 mg/dL (11,1 mmol/L) or higher
B100 mg/dL (5,6 mmol/L) or higher
C110 mg/dL (6,1 mmol/L) or higher
D126 mg/dL (7,0 mmol/L) or higher
3.Makkelijk
Where does most of the ammonia in the blood come from, and which organ removes it?
AGlucose breakdown in muscle; removed by the pancreas
BRed cell breakdown in the spleen; removed by the skin
CProtein breakdown by gut bacteria; removed by the liver
DFat breakdown in adipose tissue; removed by the lungs
4.Gemiddeld
A young adult with new diabetes has a very low C-peptide level. What does this suggest?
AThe patient has high insulin resistance, as in type 2 diabetes
BThe patient is injecting too much insulin and needs a lower dose
CThe pancreas is making very little insulin, as in type 1 diabetes
DThe kidneys are excreting all of the patient's insulin in urine
5.Gemiddeld
A patient's levothyroxine dose was changed today. When is the TSH usually rechecked?
AAfter about 3 days
BAfter about 24 hours
CAfter about 6–8 weeks
DAfter about 1 year
6.Gemiddeld
A patient on hemodialysis has an arteriovenous (AV) fistula in the left arm. Where should the nurse draw routine blood samples?
AFrom the right arm
BFrom the left wrist
CFrom the fistula
DFrom the left hand
7.Moeilijk
Weeks after neck surgery, a patient has muscle cramps and tingling. Calcium is low, phosphate is high and parathyroid hormone (PTH) is low. Which condition fits best?
AHypoparathyroidism
BChronic kidney disease
CVitamin D toxicity
DPrimary hyperparathyroidism
8.Moeilijk
A patient receiving parenteral nutrition with lipid emulsion has a triglyceride level of 620 mg/dL (7,0 mmol/L). Why is this result important?
AIt means the patient needs more lipid
BIt is a normal fasting value for adults
CIt shows the nutrition is fully effective
DIt raises the risk of acute pancreatitis
Antwoordenblad
1. A · 3,5–5,0 mEq/L
2. D · 126 mg/dL (7,0 mmol/L) or higher
3. C · Protein breakdown by gut bacteria; removed by the liver
4. C · The pancreas is making very little insulin, as in type 1 diabetes
5. C · After about 6–8 weeks
6. A · From the right arm
7. A · Hypoparathyroidism
8. D · It raises the risk of acute pancreatitis
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