Wartości laboratoryjne i elektrolity: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

Which drug is routinely monitored with blood levels because of its narrow therapeutic range?

  1. AOmeprazole
  2. BAmoxicillin
  3. CLoratadine
  4. DLithium
2.Łatwy

Jaki jest typowy zakres referencyjny stężenia kreatyniny w surowicy u dorosłych?

  1. AOkoło 135–145 mg/dL
  2. BOkoło 10–20 mg/dL
  3. COkoło 0,6–1,2 mg/dL
  4. DOkoło 3,5–5,0 mg/dL
3.Łatwy

A low mean corpuscular hemoglobin concentration (MCHC) means that the red cells are:

  1. ALarger than normal (macrocytic)
  2. BMore numerous than normal
  3. CShaped like a sickle
  4. DPaler than normal (hypochromic)
4.Średni

A patient on a heparin infusion has an aPTT below the target range on the protocol. What should the nurse do?

  1. ASwitch the infusion to oral warfarin without a prescription
  2. BContinue the same rate and recheck the aPTT in a few days
  3. CAdjust the rate as the protocol directs and recheck as scheduled
  4. DStop the infusion and give protamine sulfate as quickly as possible
5.Średni

A 55-year-old has a positive fecal immunochemical test (FIT) during routine screening. What is the usual next step?

  1. AStart an iron supplement only
  2. BNo action if there are no symptoms
  3. CReferral for colonoscopy
  4. DRepeat the test in 10 years
6.Średni

A patient's potassium is 7,0 mEq/L. Which ECG change would the nurse expect?

  1. AProminent U waves
  2. BFlattened T waves
  3. CDelta waves before the QRS
  4. DTall, peaked T waves
7.Trudny

A patient has fatigue, weight gain and constipation. Results: TSH 24 mIU/L, free T4 low, total cholesterol 285 mg/dL (7,4 mmol/L), sodium 131 mEq/L. What is the best interpretation?

  1. AHyperthyroidism, with suppressed thyroid hormone production
  2. BPrimary hypothyroidism, which can raise lipids and lower sodium
  3. CSecondary hypothyroidism from failure of the pituitary gland
  4. DFamilial hypercholesterolemia, unrelated to the thyroid results
8.Trudny

A patient on clozapine for 2 years has been stable. Which statement shows a need for further teaching?

  1. A"I'll tell other doctors that I take clozapine"
  2. B"I can stop my blood tests since I feel well"
  3. C"I'll report a sore throat or fever at once"
  4. D"I'll keep all my scheduled blood test visits"

Klucz odpowiedzi

  1. 1. D · Lithium
  2. 2. C · Około 0,6–1,2 mg/dL
  3. 3. D · Paler than normal (hypochromic)
  4. 4. C · Adjust the rate as the protocol directs and recheck as scheduled
  5. 5. C · Referral for colonoscopy
  6. 6. D · Tall, peaked T waves
  7. 7. B · Primary hypothyroidism, which can raise lipids and lower sodium
  8. 8. B · "I can stop my blood tests since I feel well"

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