解答つき検査値と電解質ワークシート

What is a typical reference range for urine specific gravity in an adult?

1. AAbout 1.005–1.030
2. BAbout 1.040–1.060
3. CAbout 0.900–0.990
4. DAbout 1.100–1.300

What is a typical adult reference range for serum bicarbonate (total CO₂) on a metabolic panel?

1. AAbout 8–12 mEq/L
2. BAbout 35–45 mEq/L
3. CAbout 22–28 mEq/L
4. DAbout 98–106 mEq/L

In many US nursing references, what is the commonly cited therapeutic range for serum lithium in maintenance therapy?

1. AAbout 10–20 mEq/L
2. BAbout 3.5–5.0 mEq/L
3. CAbout 0.6–1.2 mEq/L
4. DAbout 2.0–3.0 mEq/L

患者の絶対好中球数が 0.4 × 10³/µL です。適切な対応はどれですか？

1. A厳格な手指衛生、体温の確認、感染症のある面会者をなくすこと
2. B肺炎の治療を受けている別の患者と同室にする
3. C患者の気分を上げるため、生花を部屋に持ち込む
4. D測定値がより正確なので、直腸で体温を測定する

患者が皮下注射のエノキサパリン（低分子量ヘパリン）を投与されています。モニタリングについて、正しい記述はどれですか？

1. Aいかなる血液検査も決して必要ない
2. B用量を調整するために、aPTT を 6 時間ごとに確認しなければならない
3. Cワルファリンと同様に、各用量を調整するために INR を用いる
4. D通常の aPTT は不要で、代わりに血小板と腎機能を確認する

A patient starts lisinopril (an ACE inhibitor). Which laboratory values should the nurse expect to be monitored?

1. ACalcium and phosphate
2. BPotassium and creatinine
3. CTSH and free T₄
4. DALT and bilirubin

The nurse teaches a patient with thrombocytopenia (platelets 25 × 10³/µL) about home safety. Which statement shows a need for further teaching?

1. A"I'll take aspirin if I get a headache"
2. B"I'll blow my nose gently, not forcefully"
3. C"I'll use an electric razor to shave"
4. D"I'll use a soft-bristled toothbrush"

A frail older adult in a nursing home has been drinking very little during a heat wave. She is confused, and her sodium is 158 mEq/L. Which treatment would the nurse expect?

1. AA loop diuretic to remove the extra sodium quickly
2. BGradual replacement of free water over many hours
3. CStrict fluid restriction to below 800 mL a day
4. DRapid infusion of 3% saline to raise the volume