--- title: December 31, 2024 Nursing Newsletter description: Virtual Nursing is Here, Nurse Adopts Teen Mom, NP Programs Love Med-Challenger, Deaf, Not Defeated image: https://challengercme.com/hubfs/np%20nl%20graphic.webp --- [![Med-Challenger-green-logo-1024x244](https://challengercme.com/hubfs/Med-Challenger-green-logo-1024x244.webp) ](https://challengercme.com/) - [SHOP EXAM PREP & CME ](https://challengercme.com/blog/december-17-2024-nursing-newsletter-0-0#) ### [EMERGENCY MEDICINE](https://challengercme.com/emergency-medicine-exam-review-cme-course) [ABEM exam prep](https://challengercme.com/emergency-medicine-exam-review-cme-course), [MyEMCert](https://challengercme.com/emergency-medicine-myemcert-exam-review-course), etc. ### [FAMILY MEDICINE](https://challengercme.com/family-medicine-exam-review-cme-course) [ABFM exam prep](https://challengercme.com/family-medicine-exam-review-cme-course), [ABFM KSA](https://challengercme.com/family-medicine-moc-ksa-course), etc. ### [INTERNAL MEDICINE ABIM exam prep, MOC points, etc.](https://challengercme.com/internal-medicine-exam-review-cme-course) ### [OBGYN ABOG exam prep, CREOG, etc.](https://challengercme.com/obgyn-exam-review-cme-course) ### [PEDIATRICS ABP exam prep, MOCA-PEDS, etc.](https://challengercme.com/pediatric-medicine-exam-review-cme-course) ### [PEDIATRIC EM](https://challengercme.com/pediatric-emergency-medicine-3rd-edition) [ABP/ABEM exam prep Ed.3](https://challengercme.com/pediatric-emergency-medicine-3rd-edition), [Ed.2](https://challengercme.com/pediatric-emergency-medicine-pack2), etc. ### [SPECIAL PURPOSE / SPEX FSMB exam prep, etc.](https://challengercme.com/special-purpose-exam-review-spex-exam-preparation-course) ### [PHYSICIAN ASSISTANT](https://challengercme.com/physician-assistant-exam-review-cme-course) [PANCE / PANRE](https://challengercme.com/physician-assistant-exam-review-cme-course), [CAQ-EM](https://challengercme.com/pa-caq-em-review-course), etc ### [NURSE PRACTITIONER](https://challengercme.com/family-nurse-practitioner-exam-review-cme-course) [FNP](https://challengercme.com/family-nurse-practitioner-exam-review-cme-course), [ENP](https://challengercme.com/emergency-nurse-practitioner-exam-review-cne-course), [AGNP](https://challengercme.com/adult-gerontology-nurse-practitioner-exam-review-cne-course), [PNCB/CPNP](https://challengercme.com/pediatric-nurse-practitioner-exam-review-cne-course), etc. ### [NURSING / NCLEX NCLEX, CNE, etc.](https://challengercme.com/nursing-certification-nclex-exam-review-cne-courses) ### [STATE-REQUIRED CME / CE State CME requirements, etc.](https://challengercme.com/state-required-cme) ### [JOINT COMMISSION CME](https://challengercme.com/stroke-center-ce-review-course) [Stroke](https://challengercme.com/stroke-center-ce-review-course), [Cardiac](https://challengercme.com/cardiac-center-ce-review-course), [Trauma](https://challengercme.com/trauma-center-ce-review-course), [ALS](https://challengercme.com/advanced-life-support-and-resuscitation-center-ce-review-course), etc. ### [PROFESSIONALISM CME Professionalism review with CME](https://challengercme.com/professionalism-review-course) ### [DERMATOLOGY CME Dermatology review with CME](https://challengercme.com/dermatology-review-course) ### [USMLE STEP 2CK / STEP 3 USMLE exam prep, etc.](https://challengercme.com/usmle-certification-exam-review-clerkship-exams-shelf-exam-review) - [INSTITUTIONS ](https://challengercme.com/atlas-pro-inst) - [BLOG ](https://challengercme.com/blog) - [SUPPORT ](https://support.challengercme.com/knowledge) [SIGN IN ](https://fuse.challengercme.com/sign-in?redirectURL=%2Fuserdash) NP # December 31, 2024 Nursing Newsletter Virtual Nursing is Here, Nurse Adopts Teen Mom, NP Programs Love Med-Challenger, Deaf, Not Defeated [ Challenger Corporation ](https://challengercme.com/blog/author/challenger-corporation) Dec 31, 2024 [NP](https://challengercme.com/blog/tag/np) ### < [All Posts](https://challengercme.com/blog) Try Med-Challenger Start a free trial today and save! 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[BROWSE COURSES](https://fuse.challengercme.com/store) --- ### Share this article [mailto:?subject=Check%20out%20https://challengercme.com/blog/december-17-2024-nursing-newsletter-0-0&utm_medium=social&utm_source=email%20&body=Check%20out%20https://challengercme.com/blog/december-17-2024-nursing-newsletter-0-0&utm_medium=social&utm_source=email](mailto:?subject=Check%20out%20https://challengercme.com/blog/december-17-2024-nursing-newsletter-0-0&utm_medium=social&utm_source=email%20&body=Check%20out%20https://challengercme.com/blog/december-17-2024-nursing-newsletter-0-0&utm_medium=social&utm_source=email) ### Subscribe ### Subscribe ![Nurse Practitioner](https://challengercme.com/hubfs/np%20nl%20graphic.webp) ![np nl graphic](https://challengercme.com/hs-fs/hubfs/np%20nl%20graphic.webp?width=800&height=400&name=np%20nl%20graphic.webp) - Virtual Nursing is Here - Nurse Adopts Teen Mom - NP Programs Love Med-Challenger - Deaf, Not Defeated - QUIZ QUESTION! ![np divider 8](https://challengercme.com/hs-fs/hubfs/np%20divider%208.webp?width=800&height=56&name=np%20divider%208.webp) # Virtual Nursing Is Here, Whether You Like It or Not The nursing profession is on the brink of a groundbreaking shift, with virtual care transforming how nurses deliver support and interact with patients. Experts predict that in the coming years, virtual components will become a core part of nursing roles, changing workflows and care models in unprecedented ways. This innovation not only promises efficiency but also introduces new opportunities—and challenges—for the next generation of nurses. So, what does this mean for the future of healthcare? [Virtual Nursing Is Here, Whether You Like It or Not](https://www.healthleadersmedia.com/cno/virtual-nursing-here-whether-you-it-or-not?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz---L03WLhYWSEP-Q9dM4y1zv83r1hfENwrqgnZGq1tXBJg3q3HY_RuCOSehetuPZiMQ_cGu) ## [![np divider4](https://challengercme.com/hs-fs/hubfs/np%20divider4.png?width=799&height=56&name=np%20divider4.png)](https://news.rice.edu/news/2024/complete-nursing-textbook-series-now-available-openstax)NICU Nurse with 5 Kids Adopts Teen Mom She Cared for After Giving Birth to Triplets When a teen mom gave birth to triplets, she never expected her NICU nurse to become the person who would change her life forever. What started as a professional relationship blossomed into a deep bond that defied all odds. Facing unimaginable challenges, both mother and nurse made courageous decisions that reshaped their futures. This is a heartwarming story of resilience, love, and the power of stepping up when it matters most. A remarkable journey from the NICU to a forever family, it’s a reminder that sometimes, family isn’t just about who you’re born to, but who’s there when you need them most. This article will demonstrate how one act of kindness became a lifelong commitment. [NICU Nurse with 5 Kids Adopts Teen Mom She Cared for After Giving Birth to Triplets](https://pedagogyeducation.com/News/NICU-Nurse-with-5-Kids-Adopts-Teen-Mom-She-Cared-f?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz---L03WLhYWSEP-Q9dM4y1zv83r1hfENwrqgnZGq1tXBJg3q3HY_RuCOSehetuPZiMQ_cGu) ![np divider 6](https://challengercme.com/hs-fs/hubfs/np%20divider%206.webp?width=800&height=56&name=np%20divider%206.webp) | ## [![NP Newsletter ad](https://challengercme.com/hs-fs/hubfs/NP%20Newsletter%20ad.png?width=800&height=418&name=NP%20Newsletter%20ad.png)](https://challengercme.com/medical-education-lms-for-nurse-practitioner-training-programs?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz---L03WLhYWSEP-Q9dM4y1zv83r1hfENwrqgnZGq1tXBJg3q3HY_RuCOSehetuPZiMQ_cGu)![np divider 7](https://challengercme.com/hs-fs/hubfs/np%20divider%207.webp?width=800&height=56&name=np%20divider%207.webp) ## Deaf Nurse Proves Doubters Wrong Nicole Fleming, RN, once dreamed of a career in music. But in her junior year of college, the world fell silent when she lost her hearing, shattering her plans. Doctors and professors told her she’d never work in medicine. With grit and determination, Nicole silenced her doubters and forged an inspiring path, proving that barriers exist only to be broken. [Deaf Nurse Proves Doubters Wrong](https://www.ekohealth.com/blogs/customer-stories/deaf-nurse-proves-doubters-wrong?srsltid=AfmBOooKwxZghplKygtinS7HsRdj9vYhCEOycF-twq59gizvskJxMV1b&utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-9katy6w9pHy5x8Or5C1XyNH7ao_jTj2IIgrBQHLLkhQNatMIKmOIddrLPI_6LestDoNIMZ) ![np divider 8](https://challengercme.com/hs-fs/hubfs/np%20divider%208.webp?width=2048&height=144&name=np%20divider%208.webp) [![CLICK HERE FOR ANSWER](https://challengercme.com/hs-fs/hubfs/CLICK%20HERE%20FOR%20ANSWER.png?upscale=true&upscale=true&width=940&height=788&name=CLICK%20HERE%20FOR%20ANSWER.png)](https://challengercme.com/blog/56-year-old-woman-with-alcoholic-liver-disease-presents-complains-of-being-tired?utm_campaign=Blog%20Subscribe&utm_content=320357946&hss_channel=fbp-122666784576&utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-9katy6w9pHy5x8Or5C1XyNH7ao_jTj2IIgrBQHLLkhQNatMIKmOIddrLPI_6LestDoNIMZ)QUIZ QUESTION # 56-year-old woman with alcoholic liver disease presents complains of being tired A 56-year-old woman with alcoholic liver disease presents to you with the complaint of being tired but states that she is otherwise healthy. She currently drinks 3 six-packs of beer every day and tells you she is not interested in alcohol cessation. On examination, her height is 5 feet 6 inches, she weighs 186 pounds, and her blood pressure is 147/84 mm Hg. She has a buffalo hump and striae in the abdomen that are pink in color. She is able to stand up after squatting.  Her nonfasting, finger-stick blood glucose test result is 189. On initial work-up, you order a morning cortisol level, which is 16 mg/dL, and a glycated hemoglobin level, which is 7.3%. You confirm a diagnosis of diabetes but you are concerned the patient may have Cushing syndrome given her elevated cortisol level. You order a dexamethasone suppression test (1 mg), which comes back as 14 mg/dL. Which of the following statements is true of patients with pseudo-Cushing syndrome associated with alcohol abuse?  -Chronic alcohol use results in a physiological decrease in serum cortisol levels         - Patients with pseudo-Cushing syndrome secondary to alcohol abuse require the same treatment as patients with Cushing syndrome -Cortisol levels in pseudo-Cushing syndrome remain high even after a period of abstinence -The symptoms of pseudo-Cushing syndrome are often indistinguishable from those of Cushing syndrome [![click here for answer](https://challengercme.com/hs-fs/hubfs/click%20here%20for%20answer.jpg?width=522&height=65&name=click%20here%20for%20answer.jpg)](https://challengercme.com/blog/56-year-old-woman-with-alcoholic-liver-disease-presents-complains-of-being-tired?utm_campaign=Blog%20Subscribe&utm_content=320357946&hss_channel=fbp-122666784576&utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz--lgXgdcoI_yX87eTcUqfLFn04KS6NhQ0tUqyaQkNljOMCYPfu6DhMj_QVLI009uI7ch-Gi) [![social media follow us](https://challengercme.com/hs-fs/hubfs/social%20media%20follow%20us.png?upscale=true&upscale=true&width=688&height=229&name=social%20media%20follow%20us.png)](https://www.facebook.com/ChallengerCorp/)   | | --- | [ Subscribe to Our Blog and Save ](https://challengercme.com/blog?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-8ovCX0uY99IgyEgyBdNL9oH9Ogx3Etn-0E8gYIcfHPaBUnVbjVFv6SXpFU_RGQnuWj7W-p) ## Similar posts Company News ### [February 14, 2024 Nursing Newsletter](https://challengercme.com/blog/february-14-2024-nursing-newsletter) Increase Matriculation & Graduation Rates, Greater Autonomy for Nurses a No-Go, Salary Decreases, Nurses at Odds With Management Challenger Corporation Feb 15, 2024 NP ### [June 18, 2024 Nursing Newsletter](https://challengercme.com/blog/june-18-2024-nursing-newsletter) Dear AMA: Invest in Partnerships, Not Smearing Nurses, A Push to Address Nursing Shortage, The Lure of Specialty Medicine & NPs, Don't Get Left Out! 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All rights reserved [Privacy Policy](https://support.challengercme.com/knowledge/what-are-your-terms-of-service-privacy-policy-user-agreement) ```json { "@context" : "https://schema.org", "@id" : "https://challengercme.com/blog#webpage", "@type" : "WebPage", "description" : "The Challenger Medical Education Blog offers informative patient cases, medical certification exam preparation courses and board exam review tips.", "inLanguage" : "en", "isPartOf" : { "@type" : "WebSite", "name" : "Med-Challenger", "url" : "https://challengercme.com/" }, "mainEntityOfPage" : { "@id" : "https://challengercme.com/blog", "@type" : "WebPage" }, "name" : "Challenger Medical Education Blog", "primaryImageOfPage" : { "@type" : "ImageObject", "url" : "https://challengercme.com/hubfs/Webpage%20Featured%20Images/Medical%20Education%20Blog%20-%20Free%20CME%20resources%2c%20certification%20exam%20tips%2c%20clinical%20challenge%20questions%20and%20more.png" }, "publisher" : { "@type" : "Organization", "name" : "Challenger Corporation", "url" : "https://challengercme.com/" }, "url" : "https://challengercme.com/blog" } ``` ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "about" : [ "virtual nursing", "telehealth in nursing", "NICU adoption story", "nurse-patient relationship", "disability and nursing career (deaf nurse)", "exam-style quiz question", "pseudo-Cushing syndrome (alcohol-related)", "dexamethasone suppression test", "diabetes in nursing patients", "medical education and exam preparation" ], "articleSection" : "Nursing Newsletter", "author" : { "@type" : "Organization", "name" : "Challenger Corporation" }, "dateModified" : "2025-01-02T19:51:42.996Z", "datePublished" : "2024-12-31T21:58:18.000Z", "description" : "Virtual Nursing is Here, Nurse Adopts Teen Mom, NP Programs Love Med-Challenger, Deaf, Not Defeated", "headline" : "December 31, 2024 Nursing Newsletter", "image" : [ { "@type" : "ImageObject", "description" : "Med-Challenger Medical Education, a Division of Challenger Corporation", "url" : "https://challengercme.com/logo.png" } ], "inLanguage" : "en-US", "keywords" : [ "virtual nursing", "nursing newsletter", "NICU", "adoption", "deaf nurse", "inspirational nursing story", "pseudo-Cushing", "alcoholic liver disease", "dexamethasone suppression test", "diabetes", "quiz question", "Med-Challenger", "CME", "exam preparation" ], "mainEntityOfPage" : { "@id" : "https://challengercme.com/blog/december-17-2024-nursing-newsletter-0-0", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://challengercme.com/logo.png" }, "name" : "Challenger Corporation" } } ``` ```json { "@context" : "https://schema.org", "@type" : "QAPage", "mainEntity" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "The newsletter presents this quiz question but does not include the correct answer or an explanatory discussion in the article text. The post prompts readers to view the answer through the site (the article contains a 'CLICK HERE FOR ANSWER' prompt) rather than providing the answer within the newsletter content." }, "name" : "Which statement is true of pseudo-Cushing syndrome associated with alcohol abuse?", "text" : "56-year-old woman with alcoholic liver disease presents complaining of being tired. She drinks 3 six-packs daily and is not interested in alcohol cessation. Exam notable for buffalo hump, abdominal striae, nonfasting glucose 189 mg/dL. Morning cortisol 16 mg/dL and glycated hemoglobin 7.3%. Diagnosis of diabetes confirmed. Dexamethasone suppression test (1 mg) is 14 mg/dL. Which of the following statements is true of patients with pseudo-Cushing syndrome associated with alcohol abuse? - Chronic alcohol use results in a physiological decrease in serum cortisol levels - Patients with pseudo-Cushing syndrome secondary to alcohol abuse require the same treatment as patients with Cushing syndrome - Cortisol levels in pseudo-Cushing syndrome remain high even after a period of abstinence - The symptoms of pseudo-Cushing syndrome are often indistinguishable from those of Cushing syndrome" } } ``` ```json { "@context" : "https://schema.org", "@type" : "ItemList", "description" : "Exam-style review questions based on this article’s teaching points.", "itemListElement" : [ { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "The newsletter highlights virtual nursing/virtual care as becoming a core component of nursing roles, changing workflows and care models." }, "name" : "What major trend is highlighted as transforming nursing roles?" }, "position" : 1 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "According to the newsletter, the NICU nurse formed a deep bond with the teen mother and ultimately adopted her, creating a forever family." }, "name" : "What noteworthy action did a NICU nurse take after caring for a teen mother who delivered triplets?" }, "position" : 2 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "Nicole Fleming lost her hearing in college, was told she could not work in medicine, but persevered and became a nurse, demonstrating resilience." }, "name" : "What personal challenge did Nicole Fleming, RN, overcome as described in the newsletter?" }, "position" : 3 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "The newsletter includes the quiz question but does not publish the correct answer in the article text; readers are prompted to view the answer via the site ('CLICK HERE FOR ANSWER')." }, "name" : "What does the newsletter indicate about the answer to the provided quiz question on pseudo-Cushing syndrome?" }, "position" : 4 } ], "name" : "Practice Questions", "numberOfItems" : 4 } ```