1.やさしい
What is a main role of albumin in the blood?
- AIt holds fluid in the vessels by oncotic pressure
- BIt fights bacteria by engulfing them in the blood
- CIt forms the mesh that holds a blood clot together
- DIt carries oxygen from the lungs to the tissues
2.やさしい
What is the usual urine dipstick result for protein in a healthy adult?
- AStrongly positive (+++)
- BAlways moderately positive
- CNegative or trace
- DPositive only in the morning
3.やさしい
抗凝固薬を服用していない人の INR は、通常、約どれくらいですか?
- A0.8–1.2
- B2.0–3.0
- C5.0–6.0
- D3.5–4.5
4.ふつう
心房細動のためにワルファリンを服用している患者の INR が 5.2 で、出血はありません。看護師の最もよい対応はどれですか?
- A2 倍量を投与する
- B今日から緑色の野菜を食べるのをやめるよう助言する
- C通常の用量を投与し、1 か月後に再検査する
- Dワルファリンの投与を保留し、処方者に知らせる
5.ふつう
On the first day after major surgery, a patient's white cell count is 12.5 × 10³/µL, with no fever or wound signs. What is the best interpretation?
- ADefinite wound infection that needs antibiotics now
- BA sign of leukemia that needs bone marrow testing
- CA laboratory error, since surgery lowers white cells
- DA common stress response to surgery that is monitored
6.ふつう
A patient taking phenazopyridine for bladder pain has bright orange urine. What should the nurse know about urine tests?
- AThe color shows severe liver failure is present
- BThe color proves blood is present in the urine
- CThe dye can interfere with dipstick color readings
- DThe drug improves the accuracy of all dipsticks
7.むずかしい
A patient has eaten very little for 2 weeks and has received broad-spectrum antibiotics. The INR is now 2.3 without warfarin, and the platelets are normal. What is the most likely cause?
- AVitamin K deficiency
- BImmune thrombocytopenia
- CHemophilia A
- DIron-deficiency anemia
8.むずかしい
After lying on the floor for many hours, a patient has a CK of 40,000 U/L, a potassium of 6.1 mEq/L and dark urine. Which prescribed treatment is the priority?
- AFluid restriction to protect the heart from overload
- BLarge-volume IV fluids with cardiac monitoring
- CHigh-dose NSAIDs for the muscle pain
- DAn oral potassium supplement with each meal
解答
- 1. A · It holds fluid in the vessels by oncotic pressure
- 2. C · Negative or trace
- 3. A · 0.8–1.2
- 4. D · ワルファリンの投与を保留し、処方者に知らせる
- 5. D · A common stress response to surgery that is monitored
- 6. C · The dye can interfere with dipstick color readings
- 7. A · Vitamin K deficiency
- 8. B · Large-volume IV fluids with cardiac monitoring
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