解答つき検査値と電解質ワークシート

What is the usual urine dipstick result for protein in a healthy adult?

1. ANegative or trace
2. BStrongly positive (+++)
3. CAlways moderately positive
4. DPositive only in the morning

血清マグネシウムの高値に典型的な所見はどれですか？

1. A水を飲みたいという強い衝動
2. B反射の亢進と筋肉のぴくつき
3. Cカフを加圧したときの手根の痙攣
4. D深部腱反射の低下または消失

What does the red cell distribution width (RDW) describe?

1. AHow much the red cells vary in size
2. BHow many red cells are young cells
3. CHow long red cells survive in the blood
4. DHow fast the red cells settle in a tube

An older adult with chronic kidney disease takes glyburide (glibenclamide, a sulfonylurea) and has repeated low glucose readings. Why is this a concern?

1. AThe drug stops working entirely when the kidneys fail
2. BThe drug makes the glucose meter read falsely low
3. CThe drug and its metabolites build up and cause long lows
4. DThe drug causes high potassium that lowers the glucose

検査室から病棟に、カリウム 6.9 mEq/L という緊急値の電話がありました。看護師はどうすべきですか？

1. A値を記録して、次の勤務帯に申し送る
2. B書面の報告が届くまで、何の行動もとらずに待つ
3. C誰かに伝える前に、検査室に再検査を依頼する
4. D値を復唱し、患者をアセスメントして、医療者に知らせる

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 pulmonary embolism is now certain to be present
3. CA DVT is unlikely and can usually be ruled out
4. DA DVT is confirmed and anticoagulation is needed

A patient on hemodialysis receives epoetin, but the hemoglobin has not risen in 2 months. Which results should be checked first?

1. ATroponin and creatine kinase
2. BAmylase and lipase levels
3. CFerritin and transferrin saturation
4. DTSH and the free T₃ level

The nurse prepares a patient for a 2-hour oral glucose tolerance test tomorrow morning. Which statement shows a need for further teaching?

1. A"I'll avoid smoking until the test is over"
2. B"I can have a light breakfast before the test"
3. C"I'll stay seated during the test if I can"
4. D"I'll fast overnight but can drink plain water"