QUESTIONS AND SOLUTION RATED A+
✔✔What is the school nurse responsible for when children take medications? - ✔✔all
medications including insulin must be administered with supervision at any age for a
child
✔✔What are qualifications of diabetes diagnosis? - ✔✔A1C greater than 6.5
fasting plasma glucose greater than 126
2-hr plasma glucose greater than 200
random plasm glucose greater than 200 with symptoms
✔✔What is the target glucose range for less than 5 years old? - ✔✔80-200
✔✔What is the target glucose range for 6-11 years old? - ✔✔70-180
✔✔What is the target glucose range for 12 years and older? - ✔✔70-150
✔✔What should the A1C be for any child with diabetes? - ✔✔less than 7.5
✔✔What is the concern even in children with hyperglycemia? - ✔✔micro and macro
vascular complications
✔✔What are goals for children with diabetes? - ✔✔- staying within targeted glycemic
goals
- setting realistic goal for each child and family
✔✔What type of insulin is often seen in treatment? - ✔✔rapid-acting
long-acting
✔✔What are long acting insulins? - ✔✔glargine (Lantus and Toujeo)
Degludec (tresiba)
✔✔What are rapid-acting insulins? - ✔✔lispro (humalog)
Aspart (Novolog)
Glulisine (Apidra)
✔✔What are the types of diabetes treatment? - ✔✔intensive
conventional
✔✔What is intensive diabetes treatment? - ✔✔- basil bolus
- multiple daily injections or insulin pump
- most common
, ✔✔What is conventional diabetes treament - ✔✔- two injections per day
- contain intermediate and rapid acting insulins
✔✔How should insulin be given in kids? - ✔✔- 5-15 min before eating
- sometimes after eating because diet can be unpredictable for a child
✔✔How should diabetes be cared for in schools? - ✔✔- ensure IHP
- ensure necessary supplies
- ensure have carb source in case of emergencies
✔✔What are fast acting sugars for mild to moderate hypoglycemia? - ✔✔- 4 oz of juice
or soda
- 5-8 lifesavers
- 3-4 glucose tabs
- 3 packets of sugar
- 3-4 starburst
- 15 skittles
- 1 tube glucose gel
✔✔What is the nurses role in managing ADHD? - ✔✔- coordinate care of school team,
mental health team, parents
- possible 504 plan
- medication administration and monitoring
- Assisting in filling out Vanderbilt forms
✔✔What are needs to children with sickle cell anemia in schools? - ✔✔- IHP
- fluids
- bathroom privileges
- avoid physical exhaustion
- avoid extreme temperatures
- ensure pain is managed without judgement
✔✔What should nurse assess for in sickle cell anemia complications? - ✔✔- pain crisis
- acute chest syndrome
- anemia
- jaundice
- stroke
✔✔What accommodations should be provided for sickle cell anemia? - ✔✔- unlimited
access to school nurse
- Pain plan
- access to fluids and bathroom
- rest breaks
- transportation to and from schools
- extra set of books to keep at home