解答つき検査値と電解質ワークシート

A raised serum uric acid is most closely linked to which condition?

1. AOsteoporosis
2. BHypothyroidism
3. CGout
4. DIron-deficiency anemia

Which sample is commonly used to screen a patient for MRSA carriage on admission?

1. AA clean-catch midstream urine sample
2. BA sample of stool sent for culture
3. CA blood culture from one arm
4. DA swab from the front of the nose

糖尿病のない成人で、典型的な正常範囲内にある空腹時血糖はどれですか？

1. A140 mg/dL（7.8 mmol/L）
2. B210 mg/dL（11.7 mmol/L）
3. C85 mg/dL（4.7 mmol/L）
4. D45 mg/dL（2.5 mmol/L）

下垂体の手術後、患者が 1 時間に約 400 mL の薄い尿を出し、比重が 1.002 で、ナトリウムが 149 mEq/L に上昇しました。最も考えられる病態はどれですか？

1. ASIADH
2. Bケトアシドーシスを伴う高血糖
3. C乏尿を伴う急性腎障害
4. D尿崩症

ジゴキシンを服用中の患者のジゴキシン濃度が 2.8 ng/mL で、心拍数は 52 回/分です。看護師の最もよい対応はどれですか？

1. A投与を保留し、処方者に知らせる
2. B心拍数が 50 回/分を超えているので、投与する
3. Cリズムを整えるために 2 倍量を投与する
4. D投与し、1 か月後に濃度を再検査する

A patient has a calcium of 7.0 mg/dL (1.75 mmol/L) and tingling around the mouth. Which nursing measure is most appropriate?

1. ALimit dairy products until the level falls again
2. BPut seizure precautions in place and report the result
3. CEncourage 3 L of fluid per day to dilute the calcium
4. DPromote walking to move calcium back into the bone

A woman with preeclampsia is receiving IV magnesium sulfate. Her urine output has fallen and her creatinine is rising. Why is this a concern?

1. AMagnesium is excreted by the kidneys, so it can build up to toxic levels
2. BMagnesium causes potassium loss, so the kidneys release more fluid
3. CPoor kidney function makes the magnesium level fall quickly
4. DMagnesium is broken down by the liver, so it will stop working soon

A patient's total calcium is 7.6 mg/dL and the albumin is 2.0 g/dL. Using the common correction (add 0.8 mg/dL for each 1 g/dL that albumin is below 4.0), what is the corrected calcium?

1. A6.0 mg/dL, well below the normal range
2. B11.6 mg/dL, above the normal range
3. C7.6 mg/dL, below the normal range
4. D9.2 mg/dL, within the normal range