1.やさしい
成人の血清ナトリウムの典型的な基準範囲はどれですか?
- A150–165 mEq/L
- B3.5–5.0 mEq/L
- C135–145 mEq/L
- D95–105 mEq/L
2.やさしい
Which group of symptoms is linked to hypercalcemia ("stones, bones, groans and moans")?
- AJaundice, itching, pale stools and dark urine
- BHeat intolerance, tremor, weight loss and diarrhea
- CKidney stones, bone pain, abdominal pain and confusion
- DTetany, muscle cramps, tingling and seizures
3.やさしい
バンコマイシンのトラフ値は、いつ採血しますか?
- A点滴が終わった直後
- B次回投与の直前、通常は 30 分以内
- C投与の時刻に関係なく、都合のよい時間帯のいつでも
- D点滴開始の 2 時間後
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?
- Aワルファリンの投与を保留し、処方者に知らせる
- B通常の用量を投与し、1 か月後に再検査する
- C今日から緑色の野菜を食べるのをやめるよう助言する
- D2 倍量を投与する
5.ふつう
A patient taking spironolactone asks about using a salt substitute. What should the nurse explain?
- AMost salt substitutes contain potassium and can raise the level too high
- BSalt substitutes are safe because they contain only sodium chloride
- CSalt substitutes protect against the potassium loss caused by this drug
- DSalt substitutes are fine as long as the patient drinks more water
6.ふつう
A patient has started parenteral nutrition (PN) through a central line. Which test is monitored most frequently in the first days?
- ABlood glucose
- BHemoglobin A1c
- CThyroid hormones
- DSerum lipase
7.むずかしい
Two days after bowel surgery, a patient with nasogastric suction has a distended abdomen, absent bowel sounds and muscle weakness. The potassium is 2.8 mEq/L. Which interpretation is best?
- AHypokalemia from gastric losses is contributing to paralytic ileus
- BHyperkalemia from tissue damage is causing the bowel to stop
- CThe low potassium is due to the patient drinking too much water
- DThe potassium is normal for the second day after surgery
8.むずかしい
A young adult has fatigue, bruising and fever. The white cell count is 85 × 10³/µL with many blasts, the hemoglobin is 7.9 g/dL (79 g/L) and the platelets are 22 × 10³/µL. What is the most likely diagnosis?
- AIron-deficiency anemia
- BAcute leukemia
- CAcute viral infection
- DPolycythemia vera
解答
- 1. C · 135–145 mEq/L
- 2. C · Kidney stones, bone pain, abdominal pain and confusion
- 3. B · 次回投与の直前、通常は 30 分以内
- 4. A · ワルファリンの投与を保留し、処方者に知らせる
- 5. A · Most salt substitutes contain potassium and can raise the level too high
- 6. A · Blood glucose
- 7. A · Hypokalemia from gastric losses is contributing to paralytic ileus
- 8. B · Acute leukemia
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