解答つき検査値と電解質ワークシート

What is a typical adult reference range for total serum bilirubin?

1. AAbout 0.3–1.2 mg/dL (5–21 µmol/L)
2. BAbout 3–12 mg/dL (51–205 µmol/L)
3. CAbout 10–20 mg/dL (171–342 µmol/L)
4. DAbout 0.03–0.1 mg/dL (0.5–1.7 µmol/L)

In iron-deficiency anemia, the transferrin saturation is usually:

1. ANormal
2. BVariable
3. CLow
4. DHigh

Which drug commonly causes a low serum potassium?

1. ASpironolactone
2. BFurosemide
3. CLisinopril
4. DAmiloride

Why must vitamin B₁₂ deficiency be ruled out before treating macrocytic anemia with folic acid alone?

1. AFolic acid blocks the absorption of all B₁₂ from the diet
2. BFolic acid causes iron overload when B₁₂ levels are low
3. CFolic acid makes B₁₂ deficiency anemia much worse within a few days
4. DFolic acid can fix the anemia while B₁₂-related nerve damage continues

敗血症が疑われる患者の血液培養は、いつ採取すべきですか？

1. A発熱が 3 日を超えて続く場合のみ
2. B抗菌薬は結果に影響しないので、いつでも
3. C最初の抗菌薬の前に、投与をあまり遅らせずに
4. D抗菌薬の最初の 3 回の投与後

A patient takes valproate (valproic acid) for epilepsy. Which tests are monitored regularly?

1. ALiver function tests and platelet count
2. BSerum lithium and urine specific gravity
3. CThyroid function and serum calcium
4. DTroponin and B-type natriuretic peptide

A trauma patient receives many units of blood quickly and then develops muscle twitching and low blood pressure. Which laboratory value is most likely to explain this?

1. AA high serum sodium
2. BA high serum magnesium
3. CA low ionized calcium
4. DA low serum glucose

A patient in DKA is receiving IV fluids and insulin. The glucose has fallen to about 220 mg/dL (12.2 mmol/L), but the anion gap is still high. What change would the nurse expect?

1. AStop the IV fluids and start oral fluids only
2. BGive an IV bolus of sodium bicarbonate at once
3. CStop the insulin infusion because the glucose is near normal
4. DAdd dextrose to the IV fluids and continue the insulin