解答つき検査値と電解質ワークシート

Which blood marker is the most specific for injury to the heart muscle?

1. ASerum myoglobin
2. BLactate dehydrogenase
3. CCardiac troponin
4. DTotal creatine kinase

Which laboratory test best reflects the body's iron stores?

1. ASerum sodium
2. BSerum ferritin
3. CSerum albumin
4. DPlatelet count

成人の血清カリウムの典型的な基準範囲はどれですか？

1. A6.0–8.0 mEq/L
2. B1.3–2.1 mEq/L
3. C135–145 mEq/L
4. D3.5–5.0 mEq/L

A patient is starting dabigatran, a direct oral anticoagulant. Which laboratory test is most important to review before the first dose?

1. ATSH, to rule out an overactive thyroid gland
2. BINR, to set the dose of the anticoagulant
3. CKidney function (creatinine clearance)
4. DLipase, to rule out an inflamed pancreas first

When should the nurse check the glucose before giving a mealtime dose of rapid-acting insulin (such as lispro)?

1. AAt bedtime only, then giving the mealtime insulin overnight
2. BOnly once a day, then giving the same dose before every meal
3. CTwo hours after the meal, then giving the insulin dose
4. DJust before the meal, giving insulin when the food is ready

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

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

A 5-year-old has new bruising and petechiae two weeks after a viral illness. Platelets are 12 × 10³/µL; hemoglobin, white cell count and clotting times are normal. Which condition is most likely?

1. AHemophilia A
2. BImmune thrombocytopenia (ITP)
3. CAcute leukemia
4. DDisseminated intravascular coagulation

ヘパリンを点滴中の患者の血小板数が、7 日目に 260 から 110 × 10³/µL に低下しました。最も適切な対応はどれですか？

1. A点滴を続け、プロトコルに従って速度を上げる
2. B数がまだ 100 × 10³/µL をわずかに上回っているので、何もしない
3. C血小板輸血を行い、ヘパリンを続ける
4. D直ちに報告する。ヘパリン起因性血小板減少症の可能性がある