Comprehensive Diabetes Management for School Nurses: Essential Protocols and Best Practices

Comprehensive Diabetes Management for School Nurses: Essential Protocols and Best
Practices




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, Comprehensive Diabetes Management for School Nurses: Essential Protocols and Best
Practices
1. Student with a DMAF (Dr's order) presents to the medical room with the complaint of
vomiting and temperature of 102. What do you do?
5 points
a) Call the student’s provider and parent
b) Check BG and monitor student
c) Give water
d) Assess student, check BG, follow DMAF recommendations, call parent, call the student’s
provider
• Answer: (d) Assess student, check BG, follow DMAF recommendations, call parent, call
the student’s provider


2. Illness and infections typically cause:
5 points
a) Glucose levels to run higher than normal
b) Greater risk for DKA
c) Both a and b
• Answer: (c) Both a and b


3. If the ketone strip indicates that the student has positive ketones you should:
5 points
a) Immediately give carbohydrates.
b) Change the student’s infusion site, infusion set, reservoir, and insulin
c) Encourage student to drink plenty of water and reference the student’s DMAF (Dr's orders) for
particular instructions
d) Call 911 immediately
• Answer: (c) Encourage student to drink plenty of water and reference the student’s
DMAF (Dr's orders) for particular instructions


4. Which of the following items is recommended for treating a low BG?
5 points
a) 3 to 4 glucose tablets
b) 5 jelly beans or gum drops
c) 1/2 glass (4 oz) of juice
d) A tablespoon of table sugar
e) All of the above