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Each month, Next Stop: Nursing features sample questions from the NCLEX-RN, provided by our partner, The College Network.
Question: A patient with a gastric tube is scheduled for a feeding. The nurse checks placement by analyzing the acid pH of the gastric contents. The contents have a pH of 7. The nurse:
A. Holds the feeding because the pH indicates the tube may be displaced and in the intestines.
B. Administers the feeding as ordered since the pH is normal for gastric contents.
C. Holds the feeding because the pH indicates the tube may be displaced and in the respiratory tract.
D. Administers the feeding as ordered since the pH is not critical to tube placement.
Question: Prior to the administration of filgrastim (Neupogen) the client reports a history of hypersensitivity to E. coli products. The nurse should take which of the following actions?
A. Reduce the dosage of filgrastim by 5 micrograms.
B. Assess the client for leukopenia and fever.
C. Administer diphenhydramine (Benadryl) prior to administering filgrastim.
D. Withhold the administration of filgrastim and notify the physician.
Answers
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New Nurse Transition: Can One Model Fit All?
By Christina Orlovsky, contributor
New nurses need a period of supervision and guided support to practice safely and competently in an increasingly complex health care environment. Now an NCLEX-affiliated organization is working to design a standardized model to transition new graduates into the workplace.
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Stephanie Thibeault, RN, BSN, answers your most pressing questions about nursing school and beyond.
A reader asks: I'm a first-year RN student about to start my medical-surgical nursing theory and clinical course. I hear differing opinions about which course is harder—med-surg or critical care. What's your perspective on this course? Also, are there any online resources you can point me to?
Stephanie answers
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Definition of the Day
obex (o-beks):
The point on the midline of the dorsal surface of the medulla oblongata that marks the caudal angle of the rhomboid fossa or fourth ventricle.
Source: Stedmans.com
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Next Stop: Nursing scans the latest medical and nursing journals to provide you with the most up-to-date content available.
Systematic Review of Childhood Obesity Prevention
The Journal of Pediatric Nursing highlights five areas of emphasis to combat childhood obesity.
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Ovarian Cancer and Oral Contraceptives
Use of oral contraceptives confers long-term protection against ovarian cancer. Acccording to The Lancet, these findings suggest that oral contraceptives have already prevented some 200,000 ovarian cancers and 100,000 deaths.
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