解答つき検査値と電解質ワークシート

Which form of bilirubin rises mainly when red cells are broken down faster than normal?

1. AUrine bilirubin
2. BStool bilirubin
3. CConjugated (direct)
4. DUnconjugated (indirect)

Chronic kidney disease is usually defined by an eGFR below which value for more than 3 months?

1. A120 mL/min/1.73 m²
2. B90 mL/min/1.73 m²
3. C60 mL/min/1.73 m²
4. D15 mL/min/1.73 m²

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

1. ALoratadine
2. BLithium
3. COmeprazole
4. DAmoxicillin

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

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

When several samples are drawn at the same venipuncture, which tubes or bottles are filled first?

1. AFluoride (glucose) tubes
2. BBlood culture bottles
3. CCoagulation (citrate) tubes
4. DEDTA (complete blood count) tubes

A patient taking empagliflozin (an SGLT2 inhibitor) has glucose in the urine but a normal blood glucose. What is the best interpretation?

1. AAn expected effect of the drug
2. BUncontrolled diabetes needing insulin
3. CA sign of kidney failure
4. DA urinary tract infection

A patient in DKA is receiving IV fluids and insulin. The glucose has fallen to about 220 mg/dL (12.2 mmol/L), but the anion gap is still high. What change would the nurse expect?

1. AAdd dextrose to the IV fluids and continue the insulin
2. BStop the IV fluids and start oral fluids only
3. CStop the insulin infusion because the glucose is near normal
4. DGive an IV bolus of sodium bicarbonate at once

A patient with ongoing hemolytic anemia has an HbA1c of 4.6%, but home glucose readings are often 180–220 mg/dL (10–12 mmol/L). What best explains the gap?

1. AThe patient has true, well-controlled diabetes
2. BThe home glucose meter is reading falsely high
3. CHemolysis makes the HbA1c test read too high
4. DShort red cell life span lowers the HbA1c falsely