CSN Chronic Disease Management 2

Question 1

When educating a student on proper metered-dose inhaler (MDI) technique, which instruction is MOST important to prevent ineffective drug delivery?

Accepted Answer

Shake the inhaler, exhale fully, then inhale slowly and steadily while actuating

Answer

Inhale rapidly and deeply to ensure medication reaches the lungs

Answer

Hold the inhaler upside down to maximize medication release

Answer

Exhale immediately after actuation to distribute medication evenly

Question 2

A student with epilepsy is prescribed diazepam rectal gel for prolonged seizures. Under what circumstance is the school nurse authorized to administer this medication?

Accepted Answer

Only when a seizure lasts longer than the duration specified in the student's emergency action plan

Answer

Whenever the student reports feeling a seizure aura

Answer

At the beginning of each school day as a preventive measure

Answer

Whenever any staff member observes unusual behavior

Question 3

A student with asthma reports that symptoms worsen every time they go to gym class. What is the BEST nursing action to address exercise-induced bronchoconstriction (EIB)?

Accepted Answer

Collaborate with the provider to update the asthma action plan and consider pre-exercise bronchodilator use

Answer

Permanently excuse the student from all physical activity

Answer

Advise the student to push through symptoms since exercise is beneficial

Answer

Refer the student to the school counselor for anxiety management

Question 4

Which of the following is the recommended blood glucose range for managing a student with Type 1 diabetes during the school day according to standard guidelines?

Accepted Answer

70-180 mg/dL

Answer

40-70 mg/dL

Answer

200-250 mg/dL

Answer

180-300 mg/dL

Question 5

A parent requests that their child with ADHD receive methylphenidate at lunch in the school nurse's office. What is the school nurse's primary responsibility before administering this medication?

Accepted Answer

Verify a current signed physician's order and signed parental consent form are on file

Answer

Confirm the student's behavior in class with the teacher before giving medication

Answer

Administer the medication based solely on parental verbal instructions

Answer

Adjust the dose based on the student's classroom performance that day

Question 6

A student with celiac disease needs accommodations in the school cafeteria. Which nursing action BEST supports this student's chronic disease management?

Accepted Answer

Collaborate with food service staff and the family to ensure a completely gluten-free meal plan

Answer

Advise the student to simply avoid bread during lunch

Answer

Recommend the student bring lunch from home and take no further action

Answer

Notify the student's teacher to monitor for behavioral changes after lunch

Question 7

Which documentation should be maintained in the school health record for every student with a chronic health condition?

Accepted Answer

An Individualized Healthcare Plan (IHP) and Emergency Care Plan (ECP) with current medical orders

Answer

Only emergency contact information and allergy list

Answer

A copy of all physician visit notes from the past five years

Answer

Teacher observation logs of classroom behavior