Werkblad Laboratoriumwaarden en elektrolyten met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
What does normal cerebrospinal fluid (CSF) look like?
ACloudy and yellow
BPink and bloody
CThick and green
DClear and colorless
2.Makkelijk
Which laboratory test is used to diagnose sickle cell disease?
AErythrocyte sedimentation rate
BHemoglobin electrophoresis
CSerum ferritin and transferrin saturation
DProthrombin time with INR
3.Makkelijk
Which hemoglobin value in an adult man is within the typical reference range?
A9,0 g/dL (90 g/L)
B20,5 g/dL (205 g/L)
C15,0 g/dL (150 g/L)
D5,5 g/dL (55 g/L)
4.Gemiddeld
A patient has weight loss, tremor and heat intolerance. Which thyroid test pattern fits Graves disease?
AHigh TSH with a normal free T4
BNormal TSH with a low free T4
CHigh TSH with a low free T4
DLow TSH with a high free T4
5.Gemiddeld
A patient taking spironolactone asks about using a salt substitute. What should the nurse explain?
AMost salt substitutes contain potassium and can raise the level too high
BSalt substitutes protect against the potassium loss caused by this drug
CSalt substitutes are fine as long as the patient drinks more water
DSalt substitutes are safe because they contain only sodium chloride
6.Gemiddeld
A patient on a heparin infusion has an aPTT below the target range on the protocol. What should the nurse do?
AAdjust the rate as the protocol directs and recheck as scheduled
BSwitch the infusion to oral warfarin without a prescription
CStop the infusion and give protamine sulfate as quickly as possible
DContinue the same rate and recheck the aPTT in a few days
7.Moeilijk
A patient who had pituitary surgery has fatigue and cold intolerance. The free T4 is low and the TSH is low. What does this pattern suggest?
ASecondary (central) hypothyroidism from pituitary failure
BNormal thyroid function with a laboratory error in T4
CHyperthyroidism from overactivity of the thyroid gland
DPrimary hypothyroidism from failure of the thyroid gland
8.Moeilijk
A patient with a heart murmur and fever has three sets of blood cultures, taken hours apart, all growing the same Streptococcus species. What does this suggest?
AContamination of all three samples during collection
BPersistent bacteremia, as in infective endocarditis
CA normal finding in patients with heart murmurs
DA urinary tract infection that has spread to the skin
Antwoordenblad
1. D · Clear and colorless
2. B · Hemoglobin electrophoresis
3. C · 15,0 g/dL (150 g/L)
4. D · Low TSH with a high free T4
5. A · Most salt substitutes contain potassium and can raise the level too high
6. A · Adjust the rate as the protocol directs and recheck as scheduled
7. A · Secondary (central) hypothyroidism from pituitary failure
8. B · Persistent bacteremia, as in infective endocarditis
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