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。

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名前: ____________________   日付: ____________

1.やさしい

Where does most of the ammonia in the blood come from, and which organ removes it?

  1. AGlucose breakdown in muscle; removed by the pancreas
  2. BProtein breakdown by gut bacteria; removed by the liver
  3. CRed cell breakdown in the spleen; removed by the skin
  4. DFat breakdown in adipose tissue; removed by the lungs
2.やさしい

血清浸透圧の典型的な基準範囲はどれですか？

  1. A約 135–145 mOsm/kg
  2. B約 400–500 mOsm/kg
  3. C約 50–100 mOsm/kg
  4. D約 275–295 mOsm/kg
3.やさしい

Which blood test is the usual measure of a person's vitamin D status?

  1. AParathyroid hormone
  2. BSerum phosphate
  3. C25-hydroxyvitamin D
  4. D1,25-dihydroxyvitamin D
4.ふつう

患者のヘマトクリットが 54 %、BUN が高く、尿比重が 1.034 です。このパターンは何を示唆しますか？

  1. A水分過剰
  2. B希釈を伴う急性の失血
  3. C薄い尿を伴う腎不全
  4. D血液濃縮を伴う脱水
5.ふつう

A patient scheduled for surgery this morning has a potassium of 3.0 mEq/L on pre-operative tests. What should the nurse do?

  1. ARepeat the test after the surgery is finished
  2. BReport it to the surgical team before surgery
  3. CSend the patient to surgery without comment
  4. DGive an oral potassium dose without a prescription
6.ふつう

A patient on warfarin has an INR of 7.8 and a nosebleed. Which medication would the nurse expect the provider to prescribe?

  1. ANaloxone hydrochloride
  2. BAcetylcysteine
  3. CProtamine sulfate
  4. DVitamin K (phytonadione)
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. BHeparin needs no laboratory monitoring once the infusion is started
  3. CThe INR of 1.1 means the heparin rate must be doubled at once
  4. DThe INR is the correct test, and 1.1 means heparin is therapeutic
8.むずかしい

A patient has painless jaundice, itching, dark urine and pale stools. ALP is markedly raised, conjugated (direct) bilirubin is high and ALT is only mildly raised. What is the most likely cause?

  1. AAcute viral hepatitis with widespread liver cell damage
  2. BBlockage of bile flow, for example by a tumor in the bile duct
  3. CGilbert syndrome, a harmless inherited bilirubin disorder
  4. DIncreased breakdown of red blood cells (hemolytic anemia)

解答

  1. 1. B · Protein breakdown by gut bacteria; removed by the liver
  2. 2. D · 約 275–295 mOsm/kg
  3. 3. C · 25-hydroxyvitamin D
  4. 4. D · 血液濃縮を伴う脱水
  5. 5. B · Report it to the surgical team before surgery
  6. 6. D · Vitamin K (phytonadione)
  7. 7. A · Heparin is adjusted using the aPTT or anti-Xa level, not the INR
  8. 8. B · Blockage of bile flow, for example by a tumor in the bile duct

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