解答つき検査値と電解質ワークシート

成人の総血清カルシウムの典型的な基準範囲はどれですか？

1. A約 12–16 mg/dL（3.0–4.0 mmol/L）
2. B約 8.5–10.5 mg/dL（2.1–2.6 mmol/L）
3. C約 1.3–2.1 mg/dL（0.3–0.5 mmol/L）
4. D約 3.5–5.0 mg/dL（0.87–1.25 mmol/L）

An eGFR below which value indicates stage 5 chronic kidney disease (kidney failure)?

1. A60 mL/min/1.73 m²
2. B15 mL/min/1.73 m²
3. C90 mL/min/1.73 m²
4. D45 mL/min/1.73 m²

Which group of symptoms is linked to hypercalcemia ("stones, bones, groans and moans")?

1. AHeat intolerance, tremor, weight loss and diarrhea
2. BKidney stones, bone pain, abdominal pain and confusion
3. CJaundice, itching, pale stools and dark urine
4. DTetany, muscle cramps, tingling and seizures

患者のナトリウムが 124 mEq/L で、頭痛と新たな錯乱があります。最も適切な看護はどれですか？

1. A普通の水をたっぷり飲むよう勧める
2. B患者を平らに寝かせ、神経学的な確認を勤務につき 1 回に制限する
3. Cけいれん対策を行い、神経学的状態をモニタリングする
4. D処方されたチアジド系利尿薬の次回分を早めに投与する

A patient with pneumonia had a CRP of 180 mg/L on admission and 40 mg/L after 4 days of antibiotics. What does this most likely show?

1. AThe patient has developed a new infection
2. BThe antibiotic is causing liver damage
3. CThe infection has spread to another organ
4. DThe inflammation is settling with treatment

血糖が 54 mg/dL（3.0 mmol/L）の意識のある患者が、即効性の糖質 15 g を摂取しました。血糖はいつ再測定すべきですか？

1. A約 15 分後
2. B約 2 時間後
3. C次の食事のとき
4. D翌朝

A patient on clozapine reports a sore throat and fever. The ANC is 400/µL (0.4 × 10⁹/L). What should the nurse do?

1. AHold the clozapine and report the result at once
2. BGive the dose with food to protect the stomach
3. CHalve the dose and give it with a throat lozenge
4. DGive the next dose and recheck the ANC next month

An older adult with type 2 diabetes is drowsy and very dehydrated. Glucose 920 mg/dL (51 mmol/L), serum osmolality 350 mOsm/kg, pH 7.36, urine ketones negative or trace. Which condition fits best?

1. AHyperosmolar hyperglycemic state (HHS)
2. BSyndrome of inappropriate ADH (SIADH)
3. CMetformin-related lactic acidosis
4. DDiabetic ketoacidosis (DKA)