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Pharmacology For The Surgical Technologist 4Th Edition Snyder Test Bank Full Chapter PDF
Pharmacology For The Surgical Technologist 4Th Edition Snyder Test Bank Full Chapter PDF
Pharmacology For The Surgical Technologist 4Th Edition Snyder Test Bank Full Chapter PDF
MULTIPLE CHOICE
1. The definition of a diuretic medication is an agent that prevents the reabsorption of sodium
and water by which one of the following organs?
a. Lungs
b. Colon
c. Kidneys
d. Small intestines
ANS: C
The definition of a diuretic medication is an agent that prevents the reabsorption of sodium
and water by the kidneys.
6. The diuretic medication that draws fluid out of tissues and into the circulatory system is called
a. osmotic.
b. high ceiling.
c. loop.
d. thiazide.
ANS: A
The definition of an osmotic diuretic is an agent that draws fluid out of tissues and into the
circulatory system. The result is an increase of blood pressure and volume levels.
9. Which one of the following is classified as a high-ceiling diuretic medication and is used to
decrease intracranial pressure?
a. Aldactone
b. Osmitrol
c. Esidrix
d. Lasix
ANS: D
Lasix decreases intracranial pressure by quickly removing fluid that accumulates in response
to the trauma of intracranial procedures or injuries. It works by decreasing the reabsorption of
sodium and chloride ions along the renal tubule.
11. Which one of the following types of diuretic medications is prescribed in the treatment of
glaucoma?
a. Thiazide
b. Potassium sparing
c. Carbonic anhydrase inhibitor
d. High-ceiling (loop)
ANS: C
Carbonic anhydrase inhibitors are active in the formation of aqueous humor in the eye. By
inhibiting the production of aqueous humor, these drugs lower the intraocular pressure that
causes glaucoma.
13. Which electrolyte may be seriously depleted in patients taking certain diuretics?
a. Sodium (Na+)
b. Chloride (Cl-)
c. Calcium (Ca)
d. Potassium (K+)
ANS: D
Most diuretics cause the excretion of electrolytes other than sodium, including potassium.
Because normal serum potassium levels are narrow (3.5 to 5.0 mEq/L), a depletion of
potassium levels can result.
14. Diuretics cause the elimination of excess fluid by preventing the reabsorption of which one of
the following elements?
a. Sodium
b. Chloride
c. Potassium
d. Calcium
ANS: A
The mechanism of a diuretic medication is to prevent the reabsorption of sodium and,
consequently, water by the kidneys; thus the increased elimination of fluids results.
15. Potassium-sparing diuretics are commonly used to treat which one of the following
conditions?
a. Edema
b. Congestive heart failure
c. Intracranial pressure
d. Intraocular pressure
ANS: A
An indication for potassium-sparing diuretics, which are low in potency, is to treat edema.
18. The only diuretic administered from the sterile back table is
a. furosemide.
b. hydrochlorothiazide.
c. mannitol.
d. acetazolamide.
ANS: C
Mannitol, which is contained in the ophthalmic medication Miochol-E, is given from the back
table.
19. Minerals made up of electrically charged particles held together by ionic bonds in the body
are called
a. urine.
b. electrolytes.
c. water.
d. hormones.
ANS: B
Electrolytes are minerals made up of electrically charged particles held together by ionic
bonds.
23. A process of forcing fluids and solutes through a membrane by pressure is called
a. homeostasis.
b. hemostasis.
c. metabolism.
d. filtration.
ANS: D
Filtration is the process of forcing fluids and solutes through a membrane by pressure.
24. What substance undergoes tubular reabsorption in the proximal convoluted tubule?
a. Urea
b. Filtrate
c. Creatinine
d. Water
ANS: B
Filtrate undergoes tubular reabsorption and takes place in the proximal convoluted tubule and
the ascending and descending limbs of the loop of Henle.
25. What is the primary concern for nonemergency surgical patients with low potassium?
a. Hypokalemia
b. Delayed surgery
c. Cardiac arrest
d. Muscle weakness
ANS: C
Low potassium may cause arrhythmias, which can increase the chance for cardiac arrest.
26. Anesthesia care providers may administer diuretics for short-term therapy for all of the
following reasons, except
a. reduce intraocular pressure.
b. reduce liver failure.
c. reduce intracranial pressure.
d. protect kidney function.
ANS: B
Diuretics are not administered to reduce liver failure intraoperatively.
The fly-wheel which the Cambria Company made for this engine
interested me greatly. The hub and arms were cast in one piece as a
spider and, of course, were free from internal strain. The rim was
also cast in one piece. The manner in which the arms were united to
the rim is shown in the accompanying cut. The spaces at the sides
and end were ⁵⁄₈ inch wide; these were filled with oak, into which
long slender steel wedges were driven from each side, as many as
they would contain. This wonderful fly-wheel, I learned, was the
invention of Mr. John Fritz, made while he was superintendent of the
Cambria Works.
The engine had many visitors, among whom I particularly
remember Mr. Otis and Mr. Wellman, whom I happened to meet
there. Their visit resulted in an order for an engine of the same size
to drive the new plate-mill which Mr. Otis was about building. I
received also three other orders for duplicates of this engine, one
from the Pennsylvania Steel Company, one from the Bethlehem
Steel Company, and a second order from the Cambria Company
themselves. The order from the Bethlehem Steel Company was
given me by Mr. John Fritz, then its superintendent and engineer, the
inventor of the three-high train of rolls, and the designer of all their
machinery for rolling both rails and armor-plates.
An incident connected with the order from the Cambria Company I
will mention, as showing the contrast between the brutal and the
considerate way of doing business. I received a telegram from the
Cambria Company, reading: “You are wanted here at once about
another engine.” I learned afterward that this telegram as written by
Mr. Powell Stackhouse, the general manager, did not contain the last
three words, but read: “You are wanted here at once.” Mr.
Stackhouse had written this telegram and laid it on his table for a boy
to take to the telegraph operator. At that moment Mr. Jones came
into his office and read the telegram, when the following
conversation took place:
Mr. Jones: “It will never do to send this in that shape.”
Mr. Stackhouse: “Why not?”
Mr. Jones: “It will break Porter all up.”
Mr. Stackhouse: “How so?”
Mr. Jones: “The only thing he can think of will be that some great
disaster has happened to his engine.”
No answer. Mr. Jones thereupon added the words “about another
engine,” which changed somewhat the impression which the
telegram was calculated to produce.
John Fritz
These orders for four more engines of the largest size on my list
were afterwards supplemented by a similar order from the Albany
and Rensselaer Iron and Steel Company, making in all five, or with
the one then running six from the same patterns.
The more rapid rolling was found to possess advantages beyond
the merely increased output. It insured a uniform excellence in the
product, which could not otherwise be attained even by the utmost
care, and it effected several important economies. Mr. Jones had
recently completed and put in operation a new blooming-train, then
the largest in the world, for which the size of the ingots to be rolled
was increased from 12 inches square to 17 inches square at the
base, and the capacity of the Bessemer converters was increased in
the same proportion. The output of this mill was much greater than
the rail-train could dispose of, and a large pile of cold blooms had
accumulated in the yard. A force of about thirty men was employed
in chipping out all defects in these blooms which might cause rails to
be classed as “seconds.”
After my engine had been started it was soon observed that,
between the shorter time of exposure and the greater rapidity with
which heat was imparted to the rails by the rolling, the original heat
of the blooms was very nearly maintained to the end of the process,
every defect was welded up, and a perfect rail was produced, so the
chipping of the blooms was no longer necessary.
It was not a great while before the accumulation of the blooms in
the yard was disposed of and the hot blooms were brought directly
from the blooming-mill. These, of course, were more readily
reheated, and moreover, to the surprise of the workmen, less power
was required to roll them, and the rolls endured much longer without
needing to be re-turned. The explanation was that the cold blooms
had never been thoroughly heated in the middle. This was the
beginning of maintaining the original heat of the ingot, which has
since been turned to such great advantage.
CHAPTER XXVI
My Downward Progress.