1.やさしい
What does a "stat" laboratory order mean?
- AThe test is done at night
- BThe test is done next week
- CThe test is done if time allows
- DThe test is done immediately
2.やさしい
What is the purpose of a type and crossmatch before a transfusion?
- ATo measure how much iron is stored in the patient's bone marrow
- BTo check that donor blood is compatible with the patient's blood
- CTo find out how quickly the patient's blood forms a clot
- DTo test the donor blood for bacterial contamination only
3.やさしい
How does dehydration usually affect the hematocrit?
- AIt has no effect
- BIt lowers it
- CIt raises it
- DIt makes it zero
4.ふつう
When do the blood counts usually reach their lowest point (nadir) after many standard chemotherapy regimens?
- AAbout 7–14 days after treatment
- BOn the same day as treatment
- CWithin 1–2 hours of treatment
- DAbout 6 months after treatment
5.ふつう
A week after a splenectomy, a patient's platelet count is 650 × 10³/µL. What is the best interpretation?
- AA sign of iron overload from the surgery and transfusion
- BA laboratory error, because platelets fall after splenectomy
- CA sign of new leukemia that needs immediate chemotherapy
- DAn expected rise after splenectomy that increases clot risk
6.ふつう
A patient on peritoneal dialysis notices that the drained fluid is cloudy and has abdominal pain. What should the nurse do?
- AStop dialysis for a week and recheck the fluid later
- BSend the fluid for cell count and culture and report it
- CAdd more glucose to the next bag to clear the fluid
- DRecord it as normal and continue the usual exchanges
7.むずかしい
Four drug levels are reported. Which patient should the nurse assess first?
- AValproate 75 mcg/mL with no symptoms
- BDigoxin 1.0 ng/mL with a pulse of 72/min
- CLithium 1.8 mEq/L with a new coarse tremor
- DPhenytoin 15 mcg/mL with no symptoms
8.むずかしい
A patient on hemodialysis receives epoetin, but the hemoglobin has not risen in 2 months. Which results should be checked first?
- ATSH and the free T3 level
- BAmylase and lipase levels
- CTroponin and creatine kinase
- DFerritin and transferrin saturation
解答
- 1. D · The test is done immediately
- 2. B · To check that donor blood is compatible with the patient's blood
- 3. C · It raises it
- 4. A · About 7–14 days after treatment
- 5. D · An expected rise after splenectomy that increases clot risk
- 6. B · Send the fluid for cell count and culture and report it
- 7. C · Lithium 1.8 mEq/L with a new coarse tremor
- 8. D · Ferritin and transferrin saturation
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。