Wartości laboratoryjne i elektrolity: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

What is a typical reference range for the reticulocyte count in an adult?

  1. AAbout 10–20% of red cells
  2. BAbout 0,01–0,05% of red cells
  3. CAbout 40–50% of red cells
  4. DAbout 0,5–2% of red cells
2.Łatwy

In the US (NCEP ATP III) classification, which total cholesterol level is called desirable for an adult?

  1. ABelow 200 mg/dL (5,2 mmol/L)
  2. BBetween 250 and 300 mg/dL (6,5–7,8 mmol/L)
  3. CAbove 240 mg/dL (6,2 mmol/L)
  4. DBelow 300 mg/dL (7,8 mmol/L)
3.Łatwy

Why is serum creatinine a better marker of kidney function than BUN?

  1. AIt is less affected by diet, hydration and bleeding in the gut
  2. BIt is not filtered by the kidneys, so its level stays very stable
  3. CIt is affected mainly by protein intake, which is easy to control
  4. DIt is made by the liver, so it rises in every kind of illness
4.Średni

A patient had a total thyroidectomy yesterday. Which laboratory value is most important to monitor in the first days after surgery?

  1. ASerum calcium
  2. BSerum glucose
  3. CSerum potassium
  4. DSerum sodium
5.Średni

A young adult with new diabetes has a very low C-peptide level. What does this suggest?

  1. AThe patient is injecting too much insulin and needs a lower dose
  2. BThe kidneys are excreting all of the patient's insulin in urine
  3. CThe patient has high insulin resistance, as in type 2 diabetes
  4. DThe pancreas is making very little insulin, as in type 1 diabetes
6.Średni

A patient with chronic kidney disease has a potassium of 5,6 mEq/L. Which food should the nurse advise the patient to limit?

  1. ABananas
  2. BCabbage
  3. CWhite rice
  4. DApples
7.Trudny

A child with sickle cell disease and a recent viral illness is pale and tired. The hemoglobin has fallen sharply, and the reticulocyte count is very low. What is the most likely problem?

  1. AIron deficiency from a poor diet over months
  2. BA normal finding in sickle cell disease
  3. CA vaso-occlusive pain crisis in the bones
  4. DAn aplastic crisis, often caused by parvovirus B19
8.Trudny

Pacjentka z przerzutowym rakiem piersi ma wapń 13,2 mg/dL (3,3 mmol/L), jest splątana i ma zaparcia. Jakiego zleconego leczenia spodziewa się pielęgniarka na początku?

  1. ADoustne suplementy wapnia
  2. BDożylnie 0,9% chlorek sodu
  3. CŚcisły odpoczynek w łóżku
  4. DDiuretyk tiazydowy

Klucz odpowiedzi

  1. 1. D · About 0,5–2% of red cells
  2. 2. A · Below 200 mg/dL (5,2 mmol/L)
  3. 3. A · It is less affected by diet, hydration and bleeding in the gut
  4. 4. A · Serum calcium
  5. 5. D · The pancreas is making very little insulin, as in type 1 diabetes
  6. 6. A · Bananas
  7. 7. D · An aplastic crisis, often caused by parvovirus B19
  8. 8. B · Dożylnie 0,9% chlorek sodu

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