解答つき検査値と電解質ワークシート

An eGFR below which value indicates stage 5 chronic kidney disease (kidney failure)?

1. A45 mL/min/1.73 m²
2. B60 mL/min/1.73 m²
3. C15 mL/min/1.73 m²
4. D90 mL/min/1.73 m²

Which drug is routinely monitored with blood levels because of its narrow therapeutic range?

1. AOmeprazole
2. BAmoxicillin
3. CLithium
4. DLoratadine

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？

1. A約 0.5–2.0 ng/mL
2. B約 10–20 ng/mL
3. C約 20–40 ng/mL
4. D約 0.05–0.2 ng/mL

A patient with suspected pulmonary TB needs sputum samples for acid-fast bacilli. Which instruction is correct?

1. AGive one sample of saliva collected from the mouth at any time of day
2. BGive several samples of nasal mucus blown into a tissue
3. CGive one sample after brushing with mouthwash so it is clean
4. DGive several deep-cough samples, often first thing in the morning

患者のヘマトクリットが 54 %、BUN が高く、尿比重が 1.034 です。このパターンは何を示唆しますか？

1. A薄い尿を伴う腎不全
2. B血液濃縮を伴う脱水
3. C水分過剰
4. D希釈を伴う急性の失血

A patient with sickle cell disease takes hydroxyurea. Which laboratory test is monitored regularly for an adverse effect?

1. ASerum amylase level
2. BComplete blood count
3. CUrine ketone level
4. DSerum lithium level

A woman with preeclampsia is receiving IV magnesium sulfate. Her urine output has fallen and her creatinine is rising. Why is this a concern?

1. APoor kidney function makes the magnesium level fall quickly
2. BMagnesium causes potassium loss, so the kidneys release more fluid
3. CMagnesium is broken down by the liver, so it will stop working soon
4. DMagnesium is excreted by the kidneys, so it can build up to toxic levels

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?

1. AGive another 15 g of fast carbohydrate and recheck
2. BGive a protein snack only and recheck tomorrow
3. CWait until the next meal before giving anything
4. DGive a long-acting insulin dose to stabilize it