Werkblad Laboratoriumwaarden en elektrolyten met antwoorden

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Naam: ____________________   Datum: ____________

1.Makkelijk

The serum total protein is made up mainly of:

  1. AHemoglobin and iron
  2. BGlucose and urea
  3. CAlbumin and globulins
  4. DSodium and chloride
2.Makkelijk

Wat is een typisch referentiebereik voor serummagnesium bij volwassenen?

  1. AOngeveer 0,3–0,7 mEq/L (0,15–0,35 mmol/L)
  2. BOngeveer 6,0–8,0 mEq/L (3,0–4,0 mmol/L)
  3. COngeveer 3,5–5,0 mEq/L (1,75–2,5 mmol/L)
  4. DOngeveer 1,3–2,1 mEq/L (0,65–1,05 mmol/L)
3.Makkelijk

A raised procalcitonin level most strongly suggests:

  1. AA viral common cold
  2. BA bacterial infection
  3. CAn allergic reaction
  4. DIron-deficiency anemia
4.Gemiddeld

A patient on peritoneal dialysis notices that the drained fluid is cloudy and has abdominal pain. What should the nurse do?

  1. ARecord it as normal and continue the usual exchanges
  2. BStop dialysis for a week and recheck the fluid later
  3. CAdd more glucose to the next bag to clear the fluid
  4. DSend the fluid for cell count and culture and report it
5.Gemiddeld

A patient on carbamazepine becomes confused and has a headache. Which laboratory result would most likely explain this?

  1. AA low serum magnesium
  2. BA high serum potassium
  3. CA high serum calcium
  4. DA low serum sodium
6.Gemiddeld

An older adult takes lisinopril and furosemide and recently started daily ibuprofen for knee pain. The creatinine has risen from 1,0 to 1,8 mg/dL (88 to 159 µmol/L). What is the most likely cause?

  1. ANormal aging of the kidneys over a period of a few weeks
  2. BMore activity has increased the patient's muscle mass quickly
  3. CThe NSAID reduces kidney blood flow on top of the other two drugs
  4. DA laboratory error, since ibuprofen has no effect on the kidney
7.Moeilijk

A patient without symptoms has a TSH of 7,5 mIU/L on two occasions with a normal free T4. Which term fits best?

  1. ASecondary hypothyroidism
  2. BOvert primary hypothyroidism
  3. CSubclinical hyperthyroidism
  4. DSubclinical hypothyroidism
8.Moeilijk

An older adult with type 2 diabetes is drowsy and very dehydrated. Glucose 920 mg/dL (51 mmol/L), serum osmolality 350 mOsm/kg, pH 7,36, urine ketones negative or trace. Which condition fits best?

  1. ASyndrome of inappropriate ADH (SIADH)
  2. BHyperosmolar hyperglycemic state (HHS)
  3. CDiabetic ketoacidosis (DKA)
  4. DMetformin-related lactic acidosis

Antwoordenblad

  1. 1. C · Albumin and globulins
  2. 2. D · Ongeveer 1,3–2,1 mEq/L (0,65–1,05 mmol/L)
  3. 3. B · A bacterial infection
  4. 4. D · Send the fluid for cell count and culture and report it
  5. 5. D · A low serum sodium
  6. 6. C · The NSAID reduces kidney blood flow on top of the other two drugs
  7. 7. D · Subclinical hypothyroidism
  8. 8. B · Hyperosmolar hyperglycemic state (HHS)

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