解答つき検査値と電解質ワークシート

無料で印刷できる検査値と電解質のワークシート：やさしい問題から試験レベルまで 8 問、解答つき。印刷するか PDF で保存できます。

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名前: ____________________   日付: ____________

1.やさしい

What does a raised erythrocyte sedimentation rate (ESR) show?

  1. ADamage to heart muscle within the past few hours
  2. BInflammation somewhere in the body, without showing where
  3. CA low level of iron stored in the bone marrow
  4. DA specific infection of the urinary tract by bacteria
2.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？

  1. A点滴が終わった直後
  2. B次回投与の直前、通常は 30 分以内
  3. C点滴開始の 2 時間後
  4. D投与の時刻に関係なく、都合のよい時間帯のいつでも
3.やさしい

What is the main effect of antidiuretic hormone (ADH) on the kidneys?

  1. AMore water is reabsorbed, so urine is concentrated
  2. BMore water is excreted, so the urine becomes dilute
  3. CMore potassium is reabsorbed, so the serum potassium rises
  4. DMore glucose is excreted, so the urine contains sugar
4.ふつう

A patient with acute pancreatitis has muscle twitching and numbness around the mouth. Which laboratory value should the nurse check?

  1. ASerum calcium
  2. BSerum chloride
  3. CSerum sodium
  4. DSerum amylase
5.ふつう

高カルシウム血症に合致する所見の組み合わせはどれですか？

  1. A尖った T 波と筋力低下のみ
  2. B唯一のサインとしての、非常に薄い尿を伴う口渇
  3. Cテタニー、筋肉のこむら返り、陽性のクボステック徴候
  4. D便秘、疲労、錯乱、腎結石
6.ふつう

A healthy patient's result is slightly outside the laboratory reference range, and all other results are normal. Which statement best explains why this can happen?

  1. AReference ranges are the same in every laboratory worldwide
  2. BReference ranges include every healthy person without exception
  3. CAny result outside the range always means disease is present
  4. DRanges cover about 95% of healthy people, so some fall outside
7.むずかしい

A stable patient's hemoglobin has been 13–14 g/dL for days. Today's result is 8.2 g/dL, but the patient feels well, the vital signs are normal and there is no bleeding. What should the nurse suspect first?

  1. AAcute bone marrow failure overnight
  2. BA sample taken from the wrong patient
  3. CSudden massive internal bleeding
  4. DA normal day-to-day variation in Hb
8.むずかしい

A patient with a serum albumin of 1.9 g/dL (19 g/L) has signs of phenytoin toxicity, although the total phenytoin level is in the usual range. What is the most likely explanation?

  1. ALow albumin makes the liver clear phenytoin much faster
  2. BLow albumin stops phenytoin from crossing into the brain
  3. CLow albumin makes the total level falsely high in all cases
  4. DLow albumin raises the free (active) fraction of phenytoin

解答

  1. 1. B · Inflammation somewhere in the body, without showing where
  2. 2. B · 次回投与の直前、通常は 30 分以内
  3. 3. A · More water is reabsorbed, so urine is concentrated
  4. 4. A · Serum calcium
  5. 5. D · 便秘、疲労、錯乱、腎結石
  6. 6. D · Ranges cover about 95% of healthy people, so some fall outside
  7. 7. B · A sample taken from the wrong patient
  8. 8. D · Low albumin raises the free (active) fraction of phenytoin

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