解答つき検査値と電解質ワークシート

What is a main role of albumin in the blood?

1. AIt forms the mesh that holds a blood clot together
2. BIt carries oxygen from the lungs to the tissues
3. CIt fights bacteria by engulfing them in the blood
4. DIt holds fluid in the vessels by oncotic pressure

What is a typical adult reference range for thyroid-stimulating hormone (TSH)?

1. AAbout 0.01–0.04 mIU/L
2. BAbout 40–80 mIU/L
3. CAbout 10–20 mIU/L
4. DAbout 0.4–4.0 mIU/L

What is a "critical value" (panic value) in laboratory reporting?

1. AA result that the laboratory could not measure because of a bad sample
2. BA result so abnormal that it may threaten life and needs prompt action
3. CAny result that is slightly outside the laboratory reference range
4. DA result that is normal but differs from the patient's last value

A trauma patient receives 2 L of IV crystalloid. The hemoglobin falls from 13.0 to 11.4 g/dL (130 to 114 g/L), and the vital signs are now stable. Which explanation is most likely?

1. ADilution of the blood by the IV fluid
2. BA sudden failure of the bone marrow
3. CIncreased red cell production
4. DA laboratory error in the first sample

高カルシウム血症に合致する所見の組み合わせはどれですか？

1. Aテタニー、筋肉のこむら返り、陽性のクボステック徴候
2. B便秘、疲労、錯乱、腎結石
3. C唯一のサインとしての、非常に薄い尿を伴う口渇
4. D尖った T 波と筋力低下のみ

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

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

患者のバンコマイシンのトラフが 28 mcg/mL で、処方者が設定した目標は 15–20 mcg/mL です。次の投与の時刻になりました。最もよい対応はどれですか？

1. A曝露を減らすために、より短い時間で投与する
2. B治療を早く終えるために、2 倍量を投与する
3. C投与を保留し、処方者に知らせ、腎機能を確認する
4. D予定どおり投与し、1 週間後にトラフ値を再検査する

A patient with thalassemia major has received regular red cell transfusions for years. The ferritin is now very high. What does this most likely show, and what treatment is used?

1. AIron overload, treated with iron chelation therapy
2. BIron deficiency, treated with IV iron supplements
3. CAcute infection, treated with broad-spectrum antibiotics
4. DLiver failure, treated with a liver transplant at once