Wartości laboratoryjne i elektrolity: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

What is the main effect of aldosterone on the kidneys?

  1. ACalcium is retained and phosphate is excreted
  2. BGlucose is retained and urea is excreted
  3. CSodium is retained and potassium is excreted
  4. DSodium is excreted and potassium is retained
2.Łatwy

In a person with HIV infection, a CD4 count below which level defines AIDS?

  1. A50 cells/µL
  2. B200 cells/µL
  3. C1,000 cells/µL
  4. D500 cells/µL
3.Łatwy

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

  1. A6,5–7,5% (48–58 mmol/mol)
  2. B8,0–9,0% (64–75 mmol/mol)
  3. C5,7–6,4% (39–47 mmol/mol)
  4. D4,0–5,6% (20–38 mmol/mol)
4.Średni

Apart from the lithium level, which tests are monitored regularly in long-term lithium therapy?

  1. AINR and the platelet count
  2. BLiver enzymes and serum amylase
  3. CKidney function and thyroid function
  4. DTroponin and creatine kinase (CK)
5.Średni

A patient had a total gastrectomy. Which long-term therapy is needed to prevent anemia?

  1. AWeekly doses of oral vitamin K tablets
  2. BMonthly transfusions of red blood cells
  3. CLifelong oral folic acid tablets only
  4. DLifelong vitamin B12 replacement
6.Średni

A patient starts lisinopril (an ACE inhibitor). Which laboratory values should the nurse expect to be monitored?

  1. ATSH and free T4
  2. BALT and bilirubin
  3. CPotassium and creatinine
  4. DCalcium and phosphate
7.Trudny

A patient with diabetes had a glucose of 58 mg/dL (3,2 mmol/L), took 15 g of fast-acting carbohydrate and, 15 minutes later, the glucose is 64 mg/dL (3,6 mmol/L). The patient is alert. What should the nurse do next?

  1. AGive a protein snack only and recheck tomorrow
  2. BGive another 15 g of fast carbohydrate and recheck
  3. CWait until the next meal before giving anything
  4. DGive a long-acting insulin dose to stabilize it
8.Trudny

A patient in hyperosmolar hyperglycemic state has a glucose of 1,050 mg/dL (58 mmol/L), very dry mucous membranes and a fast pulse. Which treatment is usually the first priority?

  1. ALarge-volume IV fluid replacement
  2. BStrict fluid restriction
  3. COral glucose-lowering tablets
  4. DAn IV bolus of sodium bicarbonate

Klucz odpowiedzi

  1. 1. C · Sodium is retained and potassium is excreted
  2. 2. B · 200 cells/µL
  3. 3. C · 5,7–6,4% (39–47 mmol/mol)
  4. 4. C · Kidney function and thyroid function
  5. 5. D · Lifelong vitamin B12 replacement
  6. 6. C · Potassium and creatinine
  7. 7. B · Give another 15 g of fast carbohydrate and recheck
  8. 8. A · Large-volume IV fluid replacement

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