解答つき検査値と電解質ワークシート

A urine albumin-to-creatinine ratio (ACR) of at least which value is usually called moderately increased albuminuria?

1. A3 mg/g (0.3 mg/mmol)
2. B300 mg/dL (3 mg/mL)
3. C30 mg/g (3 mg/mmol)
4. D3,000 mg/g (300 mg/mmol)

What does the red cell distribution width (RDW) describe?

1. AHow long red cells survive in the blood
2. BHow many red cells are young cells
3. CHow much the red cells vary in size
4. DHow fast the red cells settle in a tube

Which hemoglobin value in an adult man is within the typical reference range?

1. A5.5 g/dL (55 g/L)
2. B20.5 g/dL (205 g/L)
3. C9.0 g/dL (90 g/L)
4. D15.0 g/dL (150 g/L)

A 55-year-old has a positive fecal immunochemical test (FIT) during routine screening. What is the usual next step?

1. AReferral for colonoscopy
2. BStart an iron supplement only
3. CNo action if there are no symptoms
4. DRepeat the test in 10 years

患者の血小板数が 18 × 10³/µL です。適切な看護はどれですか？

1. A頭痛のときに、処方されたアスピリンを投与する
2. B柔らかい歯ブラシ、電気カミソリ、筋肉内注射をしない
3. C1 日 2 回のデンタルフロスと、鋭利なカミソリの刃での髭剃りを勧める
4. D正確さのために、4 時間ごとに直腸で体温を測定する

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. APromote walking to move calcium back into the bone
2. BEncourage 3 L of fluid per day to dilute the calcium
3. CLimit dairy products until the level falls again
4. DPut seizure precautions in place and report the result

A patient has a sodium of 150 mEq/L, a glucose of 180 mg/dL and a BUN of 28 mg/dL. Using the formula 2 × Na + glucose/18 + BUN/2.8, what is the calculated serum osmolality?

1. AAbout 300 mOsm/kg, which is normal
2. BAbout 320 mOsm/kg, which is high
3. CAbout 285 mOsm/kg, which is normal
4. DAbout 358 mOsm/kg, which is high

2 週間前に大量の輸血を受けた患者で、HbA1c の結果が誤解を招くことがあるのはなぜですか？

1. A多くの赤血球が供血者由来の細胞で、患者のブドウ糖に曝露されていないため
2. B輸血は、常に HbA1c を偽高値まで上げるため
3. CHbA1c は、あらゆる状況で正確であるため
4. DHbA1c は、赤血球ではなく白血球上の糖を測定するため