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。

新しいワークシートヒントつきでオンライン練習

先生方へ： 授業で自由に印刷・コピーしてお使いいただけます。新しいワークシートごとに数値が変わり、専用の解答が付きます。授業ページに ExamProblems へのリンクを載せていただけると嬉しいです。

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 raised lymphocyte count is most typical of:

  1. AViral infections
  2. BIron deficiency
  3. CBacterial abscesses
  4. DAllergic asthma
3.やさしい

尿比重 1.035 は、何を最も強く示唆しますか？

  1. A尿崩症のときのような、非常に薄い尿
  2. B脱水のときのような、濃縮した尿
  3. Cすべての患者にとって正常な尿
  4. D尿路感染症
4.ふつう

心室性不整脈の患者のモニターに、ねじれるようなパターン（トルサード・ド・ポアント）が現れました。治療として静脈内投与されることが多い電解質はどれですか？

  1. A炭酸水素ナトリウム
  2. B炭酸カルシウム
  3. C硫酸マグネシウム
  4. Dリン酸カリウム
5.ふつう

A patient with sepsis has a lactate of 2.1 mmol/L on admission and 4.3 mmol/L two hours later, despite IV fluids. What does this suggest?

  1. AExpected muscle activity from shivering in fever
  2. BA normal response to IV fluids in the first hours
  3. CWorsening tissue perfusion that needs urgent reporting
  4. DImproving circulation as the fluids start to work
6.ふつう

A patient has had severe watery diarrhea for 4 days. Which laboratory pattern would the nurse expect?

  1. AHigh sodium and high calcium
  2. BLow glucose and high magnesium
  3. CLow potassium and low bicarbonate
  4. DHigh potassium and high bicarbonate
7.むずかしい

A patient has a continuous heparin infusion for a pulmonary embolism. A new nurse plans to adjust the infusion using today's INR of 1.1. What should the experienced nurse explain?

  1. AHeparin is adjusted using the aPTT or anti-Xa level, not the INR
  2. BThe INR of 1.1 means the heparin rate must be doubled at once
  3. CHeparin needs no laboratory monitoring once the infusion is started
  4. DThe INR is the correct test, and 1.1 means heparin is therapeutic
8.むずかしい

Ten days after chemotherapy, a patient has a platelet count of 9 × 10³/µL and reports a sudden severe headache and blurred vision. What is the priority?

  1. AGive acetaminophen (paracetamol) for the headache and reassess in 1 hour
  2. BEncourage the patient to drink more fluids and check the blood pressure later
  3. CDim the lights and encourage rest, as headaches are common after chemotherapy
  4. DAssess neurological status and report it at once as possible brain bleeding

解答

  1. 1. D · Bacteria in the urine that convert nitrate to nitrite
  2. 2. A · Viral infections
  3. 3. B · 脱水のときのような、濃縮した尿
  4. 4. C · 硫酸マグネシウム
  5. 5. C · Worsening tissue perfusion that needs urgent reporting
  6. 6. C · Low potassium and low bicarbonate
  7. 7. A · Heparin is adjusted using the aPTT or anti-Xa level, not the INR
  8. 8. D · Assess neurological status and report it at once as possible brain bleeding

ステップごとの詳しい解答：このトピックは examproblems.com で練習できます。