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

成人の血清リン酸の典型的な基準範囲はどれですか？

  1. A約 2.5–4.5 mg/dL（0.8–1.5 mmol/L）
  2. B約 5.5–7.5 mg/dL（1.8–2.4 mmol/L）
  3. C約 8.5–10.5 mg/dL（2.1–2.6 mmol/L）
  4. D約 0.5–1.5 mg/dL（0.2–0.5 mmol/L）
2.やさしい

Why is glucose normally absent from the urine?

  1. AGlucose is changed into ketones before it reaches the urine
  2. BThe bladder lining breaks down any glucose that reaches the urine
  3. CThe glomeruli do not filter glucose out of the blood at any level
  4. DThe tubules reabsorb all filtered glucose at normal blood levels
3.やさしい

A raised alkaline phosphatase (ALP) is most typical of:

  1. ALow production of hormone by the thyroid gland
  2. BInflammation of the lining of the urinary bladder
  3. CBlocked bile flow or increased bone turnover
  4. DAcute damage to the heart muscle
4.ふつう

検査室から病棟に、カリウム 6.9 mEq/L という緊急値の電話がありました。看護師はどうすべきですか？

  1. A書面の報告が届くまで、何の行動もとらずに待つ
  2. B値を記録して、次の勤務帯に申し送る
  3. C誰かに伝える前に、検査室に再検査を依頼する
  4. D値を復唱し、患者をアセスメントして、医療者に知らせる
5.ふつう

A patient on hemodialysis has an arteriovenous (AV) fistula in the left arm. Where should the nurse draw routine blood samples?

  1. AFrom the fistula
  2. BFrom the right arm
  3. CFrom the left wrist
  4. DFrom the left hand
6.ふつう

An older adult with chronic kidney disease starts trimethoprim-sulfamethoxazole for a urinary tract infection. Which electrolyte should be monitored closely?

  1. AChloride, because the drug causes chloride loss
  2. BPotassium, because trimethoprim can raise it
  3. CSodium, because the drug causes heavy sodium retention
  4. DCalcium, because the drug binds calcium in the gut
7.むずかしい

A patient on warfarin with an INR of 3.6 fell and hit their head an hour ago. They now report a worsening headache and drowsiness. What is the priority?

  1. AEncourage rest in a dark room to settle the pain
  2. BHold warfarin for one dose and observe at home
  3. CGive acetaminophen (paracetamol) and recheck the INR tomorrow
  4. DReport urgently for imaging and possible reversal
8.むずかしい

A patient on high-dose dexamethasone has a white cell count of 15 × 10³/µL, mostly mature neutrophils with no bands. They have no fever and no signs of infection. What is the most likely explanation?

  1. AA new leukemia that is confirmed by this result alone
  2. BCertain sepsis that needs antibiotics started without delay
  3. CA steroid effect that moves neutrophils into the circulating blood
  4. DA laboratory error, because steroids always lower the white count

解答

  1. 1. A · 約 2.5–4.5 mg/dL（0.8–1.5 mmol/L）
  2. 2. D · The tubules reabsorb all filtered glucose at normal blood levels
  3. 3. C · Blocked bile flow or increased bone turnover
  4. 4. D · 値を復唱し、患者をアセスメントして、医療者に知らせる
  5. 5. B · From the right arm
  6. 6. B · Potassium, because trimethoprim can raise it
  7. 7. D · Report urgently for imaging and possible reversal
  8. 8. C · A steroid effect that moves neutrophils into the circulating blood

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