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

Which group of symptoms is linked to hypercalcemia ("stones, bones, groans and moans")?

  1. AHeat intolerance, tremor, weight loss and diarrhea
  2. BTetany, muscle cramps, tingling and seizures
  3. CJaundice, itching, pale stools and dark urine
  4. DKidney stones, bone pain, abdominal pain and confusion
2.やさしい

成人の血清クレアチニンの典型的な基準範囲はどれですか？

  1. A約 3.5–5.0 mg/dL
  2. B約 135–145 mg/dL
  3. C約 10–20 mg/dL
  4. D約 0.6–1.2 mg/dL
3.やさしい

Which findings are typical of a low serum magnesium?

  1. ATremor, hyperreflexia and cardiac arrhythmias
  2. BPolyuria, extreme thirst and pale urine
  3. CJaundice, itching and pale stools
  4. DLoss of reflexes, flushing and slow breathing
4.ふつう

How often is the INR usually checked when warfarin is first started?

  1. AEvery hour, during the first week
  2. BOnce a year, at a routine visit
  3. CEvery few days, until it is stable
  4. DOnly if bleeding occurs at home
5.ふつう

A week after a splenectomy, a patient's platelet count is 650 × 10³/µL. What is the best interpretation?

  1. AA sign of iron overload from the surgery and transfusion
  2. BA laboratory error, because platelets fall after splenectomy
  3. CAn expected rise after splenectomy that increases clot risk
  4. DA sign of new leukemia that needs immediate chemotherapy
6.ふつう

A urine culture report states "mixed growth of three organisms, likely contamination." What is the nurse's best response?

  1. ARecord the result as a confirmed urinary tract infection
  2. BInform the provider and arrange a new, correctly collected sample
  3. CStart treatment for all three organisms with three antibiotics
  4. DDiscard the report, because a mixed growth is always normal
7.むずかしい

At the start of a shift, the nurse reviews four new results. Which patient needs attention first?

  1. APotassium 5.2 mEq/L in a patient with stable chronic kidney disease
  2. BSodium 119 mEq/L in a patient with new confusion and vomiting
  3. CGlucose 180 mg/dL (10 mmol/L) after a meal in a patient with diabetes
  4. DHemoglobin 11.0 g/dL (110 g/L) in a patient with rheumatoid arthritis
8.むずかしい

A patient with chronic kidney disease stage 4 has a high phosphate, a low-normal calcium and a very high parathyroid hormone (PTH). What does this show?

  1. ASecondary hyperparathyroidism from CKD
  2. BHypoparathyroidism after neck surgery
  3. CPrimary hyperparathyroidism from a tumor
  4. DVitamin D toxicity from supplements

解答

  1. 1. D · Kidney stones, bone pain, abdominal pain and confusion
  2. 2. D · 約 0.6–1.2 mg/dL
  3. 3. A · Tremor, hyperreflexia and cardiac arrhythmias
  4. 4. C · Every few days, until it is stable
  5. 5. C · An expected rise after splenectomy that increases clot risk
  6. 6. B · Inform the provider and arrange a new, correctly collected sample
  7. 7. B · Sodium 119 mEq/L in a patient with new confusion and vomiting
  8. 8. A · Secondary hyperparathyroidism from CKD

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