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

A urine dipstick is positive for nitrites. What does this most likely show?

  1. AGlucose spilling into the urine from high blood levels
  2. BRed blood cells leaking from the glomeruli
  3. CKetones produced from fat breakdown in fasting
  4. DBacteria in the urine that convert nitrate to nitrite
2.やさしい

A patient on warfarin asks what an INR of 2.0 means. Which explanation is best?

  1. AYou have twice the normal number of platelets
  2. BYour blood takes about twice as long as normal to clot
  3. CYour blood clots about twice as fast as is normal
  4. DYour warfarin dose is twice what it should be
3.やさしい

What is the main effect of parathyroid hormone (PTH) on serum calcium?

  1. AIt raises serum calcium
  2. BIt has no effect on calcium
  3. CIt only changes urine calcium
  4. DIt lowers serum calcium
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 amylase
  2. BSerum chloride
  3. CSerum sodium
  4. DSerum calcium
5.ふつう

A patient with hyperkalemia is prescribed an oral potassium binder such as patiromer or sodium zirconium cyclosilicate. How does this drug lower potassium?

  1. AIt moves potassium into cells in the next few minutes
  2. BIt binds potassium in the gut so it leaves in the stool
  3. CIt protects the heart muscle against high potassium levels
  4. DIt stops the kidneys from absorbing water in the tubules
6.ふつう

バンコマイシンのトラフ値が目標範囲を超えています。主な懸念となる有害作用はどれですか？

  1. A血小板数の増加（血小板増多症）
  2. B低血糖
  3. C便秘と腹部膨満
  4. D腎障害（腎毒性）
7.むずかしい

During surgery under general anesthesia, a patient develops a rising end-tidal CO2, muscle rigidity and tachycardia, then a high potassium and a rising temperature. Which condition is most likely?

  1. AHypovolemic shock
  2. BHypoglycemia from fasting
  3. CAcute hemolytic transfusion reaction
  4. DMalignant hyperthermia
8.むずかしい

A patient has a sodium of 150 mEq/L, a glucose of 180 mg/dL and a BUN of 28 mg/dL. Using the formula 2 × Na + glucose/18 + BUN/2.8, what is the calculated serum osmolality?

  1. AAbout 358 mOsm/kg, which is high
  2. BAbout 300 mOsm/kg, which is normal
  3. CAbout 320 mOsm/kg, which is high
  4. DAbout 285 mOsm/kg, which is normal

解答

  1. 1. D · Bacteria in the urine that convert nitrate to nitrite
  2. 2. B · Your blood takes about twice as long as normal to clot
  3. 3. A · It raises serum calcium
  4. 4. D · Serum calcium
  5. 5. B · It binds potassium in the gut so it leaves in the stool
  6. 6. D · 腎障害（腎毒性）
  7. 7. D · Malignant hyperthermia
  8. 8. C · About 320 mOsm/kg, which is high

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