1.やさしい
血清ジゴキシンの治療域として一般に挙げられる範囲はどれですか?
- A約 0.5–2.0 ng/mL
- B約 0.05–0.2 ng/mL
- C約 10–20 ng/mL
- D約 20–40 ng/mL
2.やさしい
皮膚と眼の黄染(黄疸)と最も密接に関連する検査結果はどれですか?
- A血清カリウムの上昇
- B血清カルシウムの低下
- C血小板数の低下
- D血清ビリルビンの上昇
3.やさしい
Which laboratory test is traditionally used to adjust a continuous infusion of unfractionated heparin?
- APlatelet function assay (PFA-100 test)
- BErythrocyte sedimentation rate (ESR)
- CInternational normalized ratio (INR)
- DActivated partial thromboplastin time (aPTT)
4.ふつう
患者の左前腕に輸液が入っています。看護師はどこから採血すべきですか?
- A輸液が流れている間に、点滴の留置針から
- B同じ腕の、点滴の刺入部のすぐ上から
- C輸液は結果に影響しないので、どの静脈からでも
- D反対側の腕から
5.ふつう
Which technique is recommended for a capillary blood glucose test on an adult's finger?
- APrick the side of the fingertip
- BSqueeze the finger very hard
- CPrick the center of the fingertip
- DUse the same finger every time
6.ふつう
After surgery for colon cancer, a patient's CEA had fallen to normal, but it has been rising over the last two checks. What does this most likely suggest?
- AA normal change after surgery that needs no follow-up
- BA sure sign that the cancer has been fully cured
- CA sign of iron deficiency from the earlier bleeding
- DPossible recurrence that needs further assessment
7.むずかしい
A patient with diabetes had a glucose of 58 mg/dL (3.2 mmol/L), took 15 g of fast-acting carbohydrate and, 15 minutes later, the glucose is 64 mg/dL (3.6 mmol/L). The patient is alert. What should the nurse do next?
- AGive another 15 g of fast carbohydrate and recheck
- BGive a long-acting insulin dose to stabilize it
- CWait until the next meal before giving anything
- DGive a protein snack only and recheck tomorrow
8.むずかしい
SIADH に合致する結果のパターンはどれですか?
- Aナトリウムは正常で、非常に薄い尿
- B血清ナトリウムの上昇、血清浸透圧の上昇、非常に薄い尿
- C血清ナトリウムの低下、血清浸透圧の低下、濃縮した尿
- D血清ナトリウムの低下、血清浸透圧の上昇、薄い尿
解答
- 1. A · 約 0.5–2.0 ng/mL
- 2. D · 血清ビリルビンの上昇
- 3. D · Activated partial thromboplastin time (aPTT)
- 4. D · 反対側の腕から
- 5. A · Prick the side of the fingertip
- 6. D · Possible recurrence that needs further assessment
- 7. A · Give another 15 g of fast carbohydrate and recheck
- 8. C · 血清ナトリウムの低下、血清浸透圧の低下、濃縮した尿
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