Werkblad Laboratoriumwaarden en elektrolyten met antwoorden

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Naam: ____________________   Datum: ____________

1.Makkelijk

Where does most of the ammonia in the blood come from, and which organ removes it?

  1. AGlucose breakdown in muscle; removed by the pancreas
  2. BRed cell breakdown in the spleen; removed by the skin
  3. CFat breakdown in adipose tissue; removed by the lungs
  4. DProtein breakdown by gut bacteria; removed by the liver
2.Makkelijk

Welke urinetest wordt gebruikt om mensen met diabetes te screenen op vroege nierschade?

  1. AEen urinezwangerschapstest
  2. BDe albumine-creatinineratio in de urine (ACR)
  3. CEen urinekweek op bacteriën
  4. DSoortelijk gewicht van de urine
3.Makkelijk

A raised alkaline phosphatase (ALP) is most typical of:

  1. AInflammation of the lining of the urinary bladder
  2. BLow production of hormone by the thyroid gland
  3. CAcute damage to the heart muscle
  4. DBlocked bile flow or increased bone turnover
4.Gemiddeld

A test has very high sensitivity for a disease. What does a negative result mean?

  1. AThe patient must have a different disease instead
  2. BThe disease is certain, so treatment should begin
  3. CThe disease is unlikely, so it helps rule it out
  4. DThe result cannot be used, because sensitivity is high
5.Gemiddeld

A woman who is 30 weeks pregnant has a new blood pressure of 152/98 mm Hg. Which urine finding would most support preeclampsia?

  1. AProtein in the urine
  2. BKetones in the urine
  3. CGlucose in the urine
  4. DNitrites in the urine
6.Gemiddeld

Welke behandeling verlaagt het serumkalium door het de cellen in te verplaatsen?

  1. AIntraveneus calciumgluconaat gegeven in 10 minuten
  2. BEen intraveneuze infusie van 0,45% natriumchloride
  3. CIntraveneuze gewone insuline gegeven met glucose
  4. DOrale kaliumchloridesuppletie
7.Moeilijk

Four results arrive at the same time. Which patient should the nurse see first?

  1. AGlucose 48 mg/dL (2,7 mmol/L) in a patient who had insulin an hour ago
  2. BHemoglobin 10,4 g/dL (104 g/L) in a patient with stable chronic kidney disease
  3. CWhite cell count 12,0 × 10³/µL on the first day after surgery
  4. DINR 2,6 in a patient on warfarin for atrial fibrillation
8.Moeilijk

Two weeks after a sore throat, a child develops dark (cola-colored) urine, puffy eyes and high blood pressure. Urinalysis shows red cell casts and protein. Which condition is most likely?

  1. AKidney stone in the ureter
  2. BPost-streptococcal glomerulonephritis
  3. CPrerenal acute kidney injury
  4. DLower urinary tract infection (cystitis)

Antwoordenblad

  1. 1. D · Protein breakdown by gut bacteria; removed by the liver
  2. 2. B · De albumine-creatinineratio in de urine (ACR)
  3. 3. D · Blocked bile flow or increased bone turnover
  4. 4. C · The disease is unlikely, so it helps rule it out
  5. 5. A · Protein in the urine
  6. 6. C · Intraveneuze gewone insuline gegeven met glucose
  7. 7. A · Glucose 48 mg/dL (2,7 mmol/L) in a patient who had insulin an hour ago
  8. 8. B · Post-streptococcal glomerulonephritis

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