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

What is a typical adult reference range for serum bicarbonate (total CO2) on a metabolic panel?

  1. AAbout 8–12 mEq/L
  2. BAbout 98–106 mEq/L
  3. CAbout 22–28 mEq/L
  4. DAbout 35–45 mEq/L
2.やさしい

The sweat chloride test is used to diagnose which condition?

  1. ASickle cell disease
  2. BDiabetes mellitus
  3. CHypothyroidism
  4. DCystic fibrosis
3.やさしい

What is a typical adult reference range for serum chloride?

  1. AAbout 98–106 mEq/L
  2. BAbout 135–145 mEq/L
  3. CAbout 3.5–5.0 mEq/L
  4. DAbout 22–28 mEq/L
4.ふつう

A patient on a heparin infusion has an aPTT below the target range on the protocol. What should the nurse do?

  1. AAdjust the rate as the protocol directs and recheck as scheduled
  2. BContinue the same rate and recheck the aPTT in a few days
  3. CStop the infusion and give protamine sulfate as quickly as possible
  4. DSwitch the infusion to oral warfarin without a prescription
5.ふつう

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

  1. AKidney function (creatinine clearance)
  2. BTSH, to rule out an overactive thyroid gland
  3. CINR, to set the dose of the anticoagulant
  4. DLipase, to rule out an inflamed pancreas first
6.ふつう

In the third trimester of pregnancy, a woman's alkaline phosphatase (ALP) is about twice the usual adult range, and the other liver tests are normal. What is the best interpretation?

  1. AA sign of blocked bile ducts
  2. BA sign of new bone cancer
  3. CA normal rise from placental ALP
  4. DA sign of acute viral hepatitis
7.むずかしい

Two sets of blood cultures were taken from separate sites. Only one bottle in one set grows coagulase-negative staphylococci, and the patient has no line or implant. What is the most likely interpretation?

  1. ACertain bloodstream infection needing treatment
  2. BProbable skin contamination of the sample
  3. CProof that the patient has infective endocarditis
  4. DInfection with a resistant organism such as MRSA
8.むずかしい

A patient's creatinine was 0.9 mg/dL (80 µmol/L) on admission and is 1.3 mg/dL (115 µmol/L) 36 hours later. Using the common KDIGO criteria, what does this show?

  1. AChronic kidney disease, because creatinine has risen above baseline
  2. BAcute kidney injury, because it rose by at least 0.3 mg/dL within 48 hours
  3. CA laboratory error, because creatinine cannot change within 2 days
  4. DNo kidney injury, because the creatinine is still within the normal range

解答

  1. 1. C · About 22–28 mEq/L
  2. 2. D · Cystic fibrosis
  3. 3. A · About 98–106 mEq/L
  4. 4. A · Adjust the rate as the protocol directs and recheck as scheduled
  5. 5. A · Kidney function (creatinine clearance)
  6. 6. C · A normal rise from placental ALP
  7. 7. B · Probable skin contamination of the sample
  8. 8. B · Acute kidney injury, because it rose by at least 0.3 mg/dL within 48 hours

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