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

For a fasting plasma glucose test, the patient should have had no caloric intake for at least:

  1. A3 hours
  2. B24 hours
  3. C1 hour
  4. D8 hours
2.やさしい

成人女性で、典型的な基準範囲を下回るヘモグロビン値はどれですか？

  1. A13.5 g/dL（135 g/L）
  2. B12.8 g/dL（128 g/L）
  3. C9.2 g/dL（92 g/L）
  4. D14.6 g/dL（146 g/L）
3.やさしい

How does dehydration usually affect the hematocrit?

  1. AIt raises it
  2. BIt makes it zero
  3. CIt has no effect
  4. DIt lowers it
4.ふつう

ジゴキシンを服用中の患者のジゴキシン濃度が 2.8 ng/mL で、心拍数は 52 回/分です。看護師の最もよい対応はどれですか？

  1. A投与し、1 か月後に濃度を再検査する
  2. Bリズムを整えるために 2 倍量を投与する
  3. C投与を保留し、処方者に知らせる
  4. D心拍数が 50 回/分を超えているので、投与する
5.ふつう

A healthy woman at 28 weeks of pregnancy has a mildly lower hemoglobin than before pregnancy, with a normal MCV and ferritin. What is the most likely explanation?

  1. AIron is being lost through the kidneys during the pregnancy
  2. BThe fetus is destroying the mother's red cells in the circulation
  3. CPlasma volume rises more than red cell mass, diluting the blood
  4. DPregnancy hormones stop the bone marrow from making red cells
6.ふつう

A patient taking spironolactone asks about using a salt substitute. What should the nurse explain?

  1. ASalt substitutes are safe because they contain only sodium chloride
  2. BSalt substitutes protect against the potassium loss caused by this drug
  3. CSalt substitutes are fine as long as the patient drinks more water
  4. DMost salt substitutes contain potassium and can raise the level too high
7.むずかしい

A patient has a positive hepatitis C antibody (anti-HCV) test. What is the most appropriate next step?

  1. ATell the patient they definitely have chronic hepatitis C
  2. BTest for HCV RNA to find out whether infection is current
  3. CGive hepatitis C vaccine to prevent further infection
  4. DRepeat the antibody test, as a positive test is always false
8.むずかしい

An older adult with type 2 diabetes is drowsy and very dehydrated. Glucose 920 mg/dL (51 mmol/L), serum osmolality 350 mOsm/kg, pH 7.36, urine ketones negative or trace. Which condition fits best?

  1. ADiabetic ketoacidosis (DKA)
  2. BSyndrome of inappropriate ADH (SIADH)
  3. CMetformin-related lactic acidosis
  4. DHyperosmolar hyperglycemic state (HHS)

解答

  1. 1. D · 8 hours
  2. 2. C · 9.2 g/dL（92 g/L）
  3. 3. A · It raises it
  4. 4. C · 投与を保留し、処方者に知らせる
  5. 5. C · Plasma volume rises more than red cell mass, diluting the blood
  6. 6. D · Most salt substitutes contain potassium and can raise the level too high
  7. 7. B · Test for HCV RNA to find out whether infection is current
  8. 8. D · Hyperosmolar hyperglycemic state (HHS)

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