1.やさしい
Which fasting triglyceride level is commonly described as normal?
- AAbove 1,000 mg/dL (11.3 mmol/L)
- BBelow 150 mg/dL (1.7 mmol/L)
- CBetween 200 and 499 mg/dL (2.3–5.6 mmol/L)
- DAbove 500 mg/dL (5.6 mmol/L)
2.やさしい
Why is AST less specific for liver damage than ALT?
- AAST is not measured in the blood at all
- BAST is also found in heart and skeletal muscle
- CAST is found only in the kidney tubules
- DAST is made by the bone marrow, not the liver
3.やさしい
成人の血清マグネシウムの典型的な基準範囲はどれですか?
- A約 6.0–8.0 mEq/L(3.0–4.0 mmol/L)
- B約 1.3–2.1 mEq/L(0.65–1.05 mmol/L)
- C約 0.3–0.7 mEq/L(0.15–0.35 mmol/L)
- D約 3.5–5.0 mEq/L(1.75–2.5 mmol/L)
4.ふつう
A patient is on an IV insulin infusion protocol in the ICU. How often is the blood glucose usually checked?
- AOnce a day before breakfast
- BOnly if symptoms occur
- CAbout every hour
- DOnce every 12 hours
5.ふつう
患者のナトリウムが 152 mEq/L です。看護師が予想する所見はどれですか?
- A陽性のトルソー徴候を伴う筋肉のぴくつき
- B足首の腫れを伴う体重増加
- C口渇、粘膜の乾燥、落ち着きのなさ
- D尖った T 波を伴う徐脈
6.ふつう
A woman who is 30 weeks pregnant has a new blood pressure of 152/98 mm Hg. Which urine finding would most support preeclampsia?
- AProtein in the urine
- BGlucose in the urine
- CKetones in the urine
- DNitrites in the urine
7.むずかしい
チアジド系利尿薬を服用している患者のナトリウムが 129 mEq/L、カリウムが 3.2 mEq/L で、脱力感があります。最もよく合う説明はどれですか?
- A利尿薬が、ナトリウムとカリウムの喪失を起こしている
- B患者に、高ナトリウムを伴う原発性アルドステロン症がある
- C患者は、輸液だけが原因で水分過剰になっている
- D結果は、腎不全に典型的である
8.むずかしい
The nurse teaches a patient who is collecting a 24-hour urine sample at home. Which statement shows a need for further teaching?
- A"I'll ask whether any foods or drugs should be avoided first"
- B"If I forget to save one void, I'll just carry on to the end"
- C"I'll keep the container cool as the laboratory told me to"
- D"I'll empty my bladder at the end time and add that urine"
解答
- 1. B · Below 150 mg/dL (1.7 mmol/L)
- 2. B · AST is also found in heart and skeletal muscle
- 3. B · 約 1.3–2.1 mEq/L(0.65–1.05 mmol/L)
- 4. C · About every hour
- 5. C · 口渇、粘膜の乾燥、落ち着きのなさ
- 6. A · Protein in the urine
- 7. A · 利尿薬が、ナトリウムとカリウムの喪失を起こしている
- 8. B · "If I forget to save one void, I'll just carry on to the end"
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