1.やさしい
What is a typical adult reference range for serum chloride?
- AAbout 22–28 mEq/L
- BAbout 3.5–5.0 mEq/L
- CAbout 135–145 mEq/L
- DAbout 98–106 mEq/L
2.やさしい
What does the specificity of a diagnostic test describe?
- AThe total number of people who take the test each year
- BThe proportion of people with the disease who test positive
- CThe proportion of people without the disease who test negative
- DThe cost of the test compared with other tests
3.やさしい
Which body system shows the main symptoms of a low serum sodium?
- AThe skin and hair
- BThe nervous system
- CThe skeleton
- DThe eyes only
4.ふつう
A patient with chronic kidney disease has a potassium of 5.6 mEq/L. Which food should the nurse advise the patient to limit?
- ACabbage
- BApples
- CBananas
- DWhite rice
5.ふつう
A patient on peritoneal dialysis notices that the drained fluid is cloudy and has abdominal pain. What should the nurse do?
- ASend the fluid for cell count and culture and report it
- BRecord it as normal and continue the usual exchanges
- CAdd more glucose to the next bag to clear the fluid
- DStop dialysis for a week and recheck the fluid later
6.ふつう
A patient taking phenazopyridine for bladder pain has bright orange urine. What should the nurse know about urine tests?
- AThe color shows severe liver failure is present
- BThe dye can interfere with dipstick color readings
- CThe color proves blood is present in the urine
- DThe drug improves the accuracy of all dipsticks
7.むずかしい
The nurse teaches a patient with chronic kidney disease about a potassium-restricted diet. Which statement shows a need for further teaching?
- A"I'll check food labels and ask my dietitian about portion sizes"
- B"I can leach potatoes by soaking them before cooking them"
- C"Dried apricots and raisins will be a good snack for me now"
- D"I'll limit bananas, oranges and potatoes in my meals"
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?
- ASyndrome of inappropriate ADH (SIADH)
- BDiabetic ketoacidosis (DKA)
- CHyperosmolar hyperglycemic state (HHS)
- DMetformin-related lactic acidosis
解答
- 1. D · About 98–106 mEq/L
- 2. C · The proportion of people without the disease who test negative
- 3. B · The nervous system
- 4. C · Bananas
- 5. A · Send the fluid for cell count and culture and report it
- 6. B · The dye can interfere with dipstick color readings
- 7. C · "Dried apricots and raisins will be a good snack for me now"
- 8. C · Hyperosmolar hyperglycemic state (HHS)
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