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

Why can bilirubin appear in the urine in obstructive jaundice but not in hemolytic jaundice?

  1. AUnconjugated bilirubin is broken down in the bladder
  2. BThe kidneys are always damaged in obstructive jaundice
  3. COnly conjugated bilirubin is water soluble and filtered
  4. DHemolysis stops the kidneys making any urine at all
2.やさしい

成人の白血球数の典型的な基準範囲はどれですか?

  1. A約 4.5–11 × 10³/µL(4.5–11 × 10⁹/L)
  2. B約 150–400 × 10³/µL(150–400 × 10⁹/L)
  3. C約 0.5–1.0 × 10³/µL(0.5–1.0 × 10⁹/L)
  4. D約 25–40 × 10³/µL(25–40 × 10⁹/L)
3.やさしい

In many US nursing references, what is the commonly cited therapeutic range for serum lithium in maintenance therapy?

  1. AAbout 3.5–5.0 mEq/L
  2. BAbout 10–20 mEq/L
  3. CAbout 0.6–1.2 mEq/L
  4. DAbout 2.0–3.0 mEq/L
4.ふつう

A patient receives repeated nebulized albuterol (salbutamol) for severe asthma. Which laboratory change should the nurse watch for?

  1. AA fall in blood glucose
  2. BA rise in serum sodium
  3. CA rise in serum calcium
  4. DA fall in serum potassium
5.ふつう

Why is a baseline platelet count taken before starting heparin therapy?

  1. ASo that the INR can be calculated from the platelet count later
  2. BSo a later fall from heparin-induced thrombocytopenia is detected
  3. CBecause heparin increases the platelet count to dangerous levels
  4. DBecause heparin is given at a dose based on the platelet count
6.ふつう

A patient on levothyroxine has palpitations, weight loss and a TSH of 0.05 mIU/L. What is the most likely explanation?

  1. AThe levothyroxine dose is too low
  2. BThe patient has stopped the drug
  3. CThe levothyroxine dose is too high
  4. DThe thyroid is now completely normal
7.むずかしい

A patient on stable digoxin starts amiodarone. A week later, the patient has nausea and visual changes, and the digoxin level is above the range. What is the most likely explanation?

  1. AThe patient has started a viral illness
  2. BAmiodarone has lowered potassium only
  3. CDigoxin has raised the amiodarone level
  4. DAmiodarone has raised the digoxin level
8.むずかしい

リチウム濃度 1.0 mEq/L が、患者の朝の服用の 2 時間後に採血され、処方者は用量を増やそうとしています。看護師は何を指摘すべきですか?

  1. Aリチウム濃度は、結果に影響することなく、1 日のうちいつでも採血できる
  2. B検体が服用から早すぎる時点で採取されたため、有効な濃度ではない
  3. C濃度が低すぎるので、大幅な増量は明らかに安全である
  4. D濃度は中毒域なので、リチウムを永久に中止すべきである

解答

  1. 1. C · Only conjugated bilirubin is water soluble and filtered
  2. 2. A · 約 4.5–11 × 10³/µL(4.5–11 × 10⁹/L)
  3. 3. C · About 0.6–1.2 mEq/L
  4. 4. D · A fall in serum potassium
  5. 5. B · So a later fall from heparin-induced thrombocytopenia is detected
  6. 6. C · The levothyroxine dose is too high
  7. 7. D · Amiodarone has raised the digoxin level
  8. 8. B · 検体が服用から早すぎる時点で採取されたため、有効な濃度ではない

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