Ped_Surg Flashcards

1
Q

What is the primary goal of pre-operative nursing care for pediatric patients?

A

To prepare the child and family for surgery, ensuring understanding and reducing anxiety.

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2
Q

True or False: Informed consent for surgery must be obtained from the pediatric patient.

A

False, it must be obtained from a parent or legal guardian.

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3
Q

List two important assessments performed during pre-operative care.

A

Vital signs and a thorough health history.

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4
Q

What is a common pre-operative medication given to children?

A

Midazolam for sedation.

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5
Q

Fill in the blank: The child’s __________ is assessed to determine their readiness for anesthesia.

A

weight

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6
Q

What is the purpose of fasting before surgery?

A

To reduce the risk of aspiration during anesthesia.

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7
Q

True or False: Pediatric patients typically require less pre-operative education than adults.

A

True, but parents need more education.

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8
Q

What is the role of the nurse in ensuring safety during the peri-operative phase?

A

To verify the correct patient, procedure, and site.

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9
Q

What monitoring is crucial during the peri-operative phase?

A

Vital signs and level of consciousness.

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10
Q

List one common complication that nurses monitor for post-surgery in children.

A

Infection at the surgical site.

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11
Q

What is the primary focus of post-operative nursing care?

A

To ensure recovery from anesthesia and monitor for complications.

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12
Q

True or False: Pain management is not necessary in the post-operative phase for children.

A

False, pain management is essential.

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13
Q

What is an important intervention for preventing respiratory complications post-surgery?

A

Encouraging deep breathing exercises.

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14
Q

What is the significance of assessing urinary output post-operatively?

A

It helps to evaluate kidney function and fluid balance.

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15
Q

Fill in the blank: The nurse should assess the ___________ of the surgical site for signs of healing or infection.

A

appearance

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16
Q

What is the most common type of surgery performed on pediatric patients?

A

Appendectomy.

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17
Q

What is a common psychological consideration for children undergoing surgery?

A

Fear of the unknown and separation from parents.

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18
Q

List one common pediatric surgery that requires general anesthesia.

A

Tonsillectomy.

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19
Q

True or False: Pediatric patients can often be discharged the same day after minor surgeries.

A

True.

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20
Q

What is a key aspect of post-operative education for parents?

A

Signs of complications to watch for at home.

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21
Q

Fill in the blank: __________ is a technique used to reduce anxiety in pediatric patients before surgery.

A

Play therapy

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22
Q

What is an important aspect of post-operative care for children with chronic conditions?

A

Coordinating care with their ongoing treatment plan.

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23
Q

What is the purpose of a pre-operative checklist?

A

To ensure all necessary preparations and assessments are completed.

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24
Q

List one common post-operative assessment for pediatric patients.

A

Assessing pain levels.

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25
Q

What is the role of the anesthesiologist during surgery?

A

To administer anesthesia and monitor the patient’s vital signs.

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26
Q

True or False: Pediatric patients require different dosages of medication than adults.

A

True.

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27
Q

What is the importance of family involvement in the pre-operative process?

A

To provide support and help alleviate the child’s anxiety.

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28
Q

Fill in the blank: The nurse should encourage the child to express their __________ about the surgery.

A

feelings

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29
Q

What is an important aspect of discharge planning for pediatric patients?

A

Providing clear instructions for home care.

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30
Q

List a common reason for pediatric surgery.

A

Congenital anomalies.

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31
Q

What is the role of the surgical team in the peri-operative phase?

A

To perform the surgery and ensure patient safety.

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32
Q

True or False: Post-operative care for children is less intensive than for adults.

A

False, it can be equally intensive.

33
Q

What is a common pre-operative test for pediatric patients?

A

Blood tests to assess health status.

34
Q

Fill in the blank: The nurse should monitor for ___________ after surgery to detect potential complications.

A

changes in vital signs

35
Q

What is the significance of using age-appropriate language in pre-operative education?

A

To ensure the child understands the information and feels more comfortable.

36
Q

List one risk factor that may complicate surgery in pediatric patients.

A

Underlying health conditions.

37
Q

What is the importance of hydration pre-operatively?

A

To maintain fluid balance and support recovery.

38
Q

True or False: The nurse should allow the child to choose a comfort item to bring to the hospital.

A

True.

39
Q

What is one way to encourage a child to comply with post-operative care?

A

Using rewards or incentives.

40
Q

Fill in the blank: The nurse should assess the child’s ___________ before discharge.

A

mobility

41
Q

What is an important consideration for post-operative nutrition in children?

A

Starting with clear liquids and gradually advancing.

42
Q

List a common post-operative complication in pediatric surgeries.

A

Nausea and vomiting.

43
Q

What is the role of the pediatric nurse in the operating room?

A

To assist the surgical team and monitor the child’s condition.

44
Q

True or False: Parents should be encouraged to stay with their child before surgery.

A

True.

45
Q

What is the significance of using distraction techniques for pediatric patients pre-operatively?

A

To help reduce anxiety and fear.

46
Q

Fill in the blank: Post-operative ___________ is crucial for ensuring a child’s comfort.

A

pain management

47
Q

What is a key responsibility of the nurse after surgery?

A

Monitoring the child as they wake up from anesthesia.

48
Q

List one psychological effect of surgery on pediatric patients.

A

Increased anxiety or fear about future medical procedures.

49
Q

What is the role of pre-operative education for parents?

A

To prepare them for what to expect and how to support their child.

50
Q

True or False: Pediatric patients generally recover faster than adults post-surgery.

A

True.

51
Q

What is the importance of follow-up appointments after surgery?

A

To monitor healing and address any concerns.

52
Q

Fill in the blank: The nurse should provide ___________ support to the family during the post-operative period.

A

emotional

53
Q

What is one common pediatric surgical procedure for ear problems?

A

Tympanostomy (ear tube placement).

54
Q

What is the purpose of pre-operative screening?

A

To identify any potential risks before surgery.

55
Q

True or False: Pediatric patients are usually given pre-operative sedatives.

A

True.

56
Q

What is the role of the nurse in educating the child about the surgery?

A

To explain the procedure in a way that is understandable and reassuring.

57
Q

List one factor that influences the choice of surgical procedure for pediatric patients.

A

The child’s age and developmental stage.

58
Q

Fill in the blank: The nurse should assess the child’s ___________ before administering medication post-operatively.

A

pain level

59
Q

What is the significance of proper positioning post-surgery?

A

To prevent complications such as pressure ulcers and respiratory issues.

60
Q

True or False: Children should be allowed to express their feelings about surgery.

A

True.

61
Q

What is an important consideration when preparing a child for surgery?

A

Using age-appropriate explanations and materials.

62
Q

What is the role of family in post-operative care for pediatric patients?

A

To provide support and assist with recovery at home.

63
Q

Fill in the blank: The nurse should document all ___________ during the pre-operative, peri-operative, and post-operative phases.

A

assessments and interventions

64
Q

What is the importance of education regarding anesthesia for parents?

A

To alleviate fears and ensure understanding of the process.

65
Q

List one common post-operative nursing intervention.

A

Monitoring for signs of infection.

66
Q

What is the significance of pain assessment tools in pediatric nursing?

A

To accurately evaluate and manage a child’s pain.

67
Q

True or False: Parents should be involved in the decision-making process for their child’s surgery.

A

True.

68
Q

What is a common reason for pediatric surgery related to the gastrointestinal system?

A

Hernia repair.

69
Q

Fill in the blank: The nurse should provide ___________ information about the child’s recovery process.

A

clear

70
Q

What is the purpose of using a surgical checklist?

A

To enhance patient safety and ensure all steps are followed.

71
Q

List one potential post-operative complication specific to pediatric patients.

A

Delayed awakening from anesthesia.

72
Q

What is a critical aspect of discharge instructions for pediatric patients?

A

Understanding when to seek medical help.

73
Q

True or False: Pediatric patients require less monitoring than adults after surgery.

A

False.

74
Q

What is the role of the nurse in managing a child’s anxiety pre-operatively?

A

To provide support and use calming techniques.

75
Q

Fill in the blank: ___________ is a common pediatric surgery for correcting vision issues.

A

Strabismus repair

76
Q

What is a key consideration for administering anesthesia to pediatric patients?

A

Dosing based on weight and age.

77
Q

List one way to involve the child in their own care post-operatively.

A

Encouraging them to express their pain levels.

78
Q

What is the significance of postoperative follow-up for pediatric surgery?

A

To ensure proper recovery and address any issues early.