Wartości laboratoryjne i elektrolity: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

A blood lactate level above about which value is usually considered raised in an adult?

  1. A0,2 mmol/L
  2. B20 mmol/L
  3. C10 mmol/L
  4. D2 mmol/L
2.Łatwy

Serum creatinine comes mainly from:

  1. AThe normal breakdown of creatine in muscle
  2. BThe breakdown of old red cells in the spleen
  3. CThe breakdown of dietary fat in the liver
  4. DThe digestion of protein by gut bacteria
3.Łatwy

What is the usual target INR for a patient taking warfarin for a deep vein thrombosis?

  1. A4,0–5,0
  2. B0,8–1,2
  3. C2,0–3,0
  4. D1,0–1,5
4.Średni

A patient with iron-deficiency anemia started oral iron. Which result is usually the earliest sign that treatment is working?

  1. AA fall in the white cell count
  2. BA rise in the reticulocyte count
  3. CA rise in the platelet count
  4. DA fall in the mean cell volume (MCV)
5.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. AWhite rice
  2. BCabbage
  3. CBananas
  4. DApples
6.Średni

A patient with a low clinical probability of deep vein thrombosis has a normal (negative) D-dimer. What is the best interpretation?

  1. AThe test is useless and should always be ignored
  2. BA DVT is unlikely and can usually be ruled out
  3. CA pulmonary embolism is now certain to be present
  4. DA DVT is confirmed and anticoagulation is needed
7.Trudny

A patient has sudden episodes of severe headache, sweating, palpitations and very high blood pressure. Which test is most useful to look for the cause?

  1. APlasma free metanephrines
  2. BSerum calcium only
  3. CFasting lipid profile
  4. DSerum TSH and free T4
8.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 long-acting insulin dose to stabilize it
  2. BGive another 15 g of fast carbohydrate and recheck
  3. CGive a protein snack only and recheck tomorrow
  4. DWait until the next meal before giving anything

Klucz odpowiedzi

  1. 1. D · 2 mmol/L
  2. 2. A · The normal breakdown of creatine in muscle
  3. 3. C · 2,0–3,0
  4. 4. B · A rise in the reticulocyte count
  5. 5. C · Bananas
  6. 6. B · A DVT is unlikely and can usually be ruled out
  7. 7. A · Plasma free metanephrines
  8. 8. B · Give another 15 g of fast carbohydrate and recheck

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