Docmoates at 01:29, 11 January 2026

2026-01-11T01:29:13Z

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<noinclude>
Nursing Pharmacology Jeopardy Game for NSG 520

==Usage==
<nowiki>{{#widget:520Jeapordy}}</nowiki>
</noinclude><includeonly><div id="jepApp">Loading game...</div>
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{n:"Cardiovascular",q:[
{p:200,s:"A 58-year-old patient with heart failure is prescribed digoxin. Before administering, the nurse checks the apical pulse and finds it to be 52 bpm.",q:"What should the nurse do?",a:"Hold the medication and notify the healthcare provider. Digoxin should be held if apical pulse is below 60 bpm due to risk of toxicity and bradycardia."},
{p:400,s:"A patient taking warfarin for atrial fibrillation has an INR of 4.8 with dark, tarry stools and dizziness.",q:"What is the priority nursing intervention?",a:"Hold warfarin, notify provider immediately, prepare for possible Vitamin K. Patient shows GI bleeding signs with supratherapeutic INR."},
{p:600,s:"A post-MI patient shows wide QRS complex rhythm at 180 bpm with no detectable pulse.",q:"What is this rhythm and immediate action?",a:"Pulseless VT. Begin CPR immediately and prepare for defibrillation per ACLS protocol."},
{p:800,s:"A CHF patient started on carvedilol reports increased SOB and 5 lb weight gain after two weeks.",q:"Why might this occur?",a:"Beta-blockers can initially worsen heart failure symptoms before long-term benefit. Assess fluid retention, monitor daily weights."},
{p:1000,s:"A hypertensive patient on lisinopril develops persistent dry cough. Provider switches to losartan.",q:"Best explanation for this change?",a:"ACE inhibitors cause dry cough from bradykinin accumulation. ARBs work similarly without this effect."}
]},
{n:"Pain Mgmt",q:[
{p:200,s:"Post-surgical patient rates pain 7/10, requests PRN morphine. Last dose 3 hours ago, ordered q4h.",q:"Appropriate nursing action?",a:"Offer non-pharmacological interventions, reassess in 1 hour. Cannot give morphine until 4-hour interval passes."},
{p:400,s:"Elderly dementia patient grimacing, guarding abdomen, restless but cannot verbally report pain.",q:"What pain assessment tool to use?",a:"Behavioral pain scale like PAINAD or FLACC. Assess nonverbal cues."},
{p:600,s:"Chronic back pain patient on oxycodone 6 months now needs higher doses for same relief.",q:"What is this vs addiction?",a:"Tolerance - physiological adaptation. Differs from addiction which involves compulsive use despite harm."},
{p:800,s:"Patient on IV morphine PCA has RR of 8, difficult to arouse, pinpoint pupils.",q:"What is occurring and priority interventions?",a:"Opioid overdose. Stop PCA, stimulate patient, prepare naloxone, support airway."},
{p:1000,s:"Cancer patient on MS Contin still has breakthrough pain episodes.",q:"What medication modification to anticipate?",a:"Add immediate-release morphine for breakthrough, typically 10-15 percent of 24-hour dose."}
]},
{n:"Teaching",q:[
{p:200,s:"New diabetic needs insulin teaching but appears anxious and keeps checking phone.",q:"What should nurse do first?",a:"Assess readiness to learn. Address anxiety, minimize distractions, determine learning style."},
{p:400,s:"Elderly patient on new warfarin has hearing loss and reads at 6th-grade level.",q:"Teaching strategies to employ?",a:"Face patient, simple language, large print materials at appropriate level, teach-back method."},
{p:600,s:"Patient discharged on metformin asks about drinking alcohol on weekends.",q:"What education to provide?",a:"Alcohol increases lactic acidosis risk with metformin. Limit alcohol, never on empty stomach."},
{p:800,s:"CHF patient discharge - nurse has 15 minutes to teach meds, diet, activity, warning signs.",q:"How to prioritize?",a:"Survival skills: daily weights, sodium restriction basics, med names and times, warning signs."},
{p:1000,s:"16-year-old with new epilepsy needs phenytoin teaching. Mother wants to handle all meds.",q:"Developmental considerations?",a:"Adolescents need autonomy. Include teen, address appearance concerns and driving restrictions."}
]},
{n:"GI/Hepatic",q:[
{p:200,s:"Cirrhosis patient has ammonia 95 (normal 15-45), confused with asterixis.",q:"What medication and why?",a:"Lactulose - acidifies colon, converts ammonia to ammonium, promotes elimination."},
{p:400,s:"Post-cholecystectomy patient has severe right shoulder pain despite abdominal surgery.",q:"What causes this?",a:"Referred pain from CO2 irritating diaphragm. Encourage ambulation to absorb gas."},
{p:600,s:"PUD patient prescribed omeprazole, clarithromycin, amoxicillin for 14 days.",q:"What is this treating?",a:"H. pylori triple therapy. Complete entire course, PPI before meals."},
{p:800,s:"Acute pancreatitis patient with NG tube, IV fluids, NPO asks why they cannot eat.",q:"Best explanation?",a:"Pancreas needs rest. Eating stimulates enzyme secretion worsening inflammation."},
{p:1000,s:"Crohns patient on long-term prednisone has moon face, central obesity, glucose 180.",q:"What is occurring?",a:"Cushing syndrome from steroids. Never stop abruptly, monitor glucose, report infections."}
]},
{n:"Med Admin",q:[
{p:200,s:"Nurse preparing IV vancomycin - pharmacy says infuse over 30 minutes.",q:"What concern?",a:"Too fast causes Red Man Syndrome. Should infuse over at least 60 minutes."},
{p:400,s:"MAR shows KCl 40 mEq IV. Nurse receives 40 mEq vial.",q:"What must nurse verify?",a:"Never IV push - fatal arrhythmias. Dilute properly, use pump, max 10-20 mEq per hour."},
{p:600,s:"Nurse to give insulin lispro and glargine before breakfast.",q:"How to administer?",a:"SEPARATE syringes - Lantus never mixed with other insulins."},
{p:800,s:"Patient on heparin drip has aPTT 120 (therapeutic 60-80), needs procedure.",q:"What should nurse do?",a:"Hold heparin, notify provider. Protamine sulfate for urgent reversal."},
{p:1000,s:"First IV penicillin dose - patient develops hives, wheezing, BP 80/50.",q:"What and priority interventions?",a:"Anaphylaxis. Stop infusion, call help, epinephrine IM, airway, IV fluids."}
]},
{n:"Pathophys",q:[
{p:200,s:"Uncontrolled diabetic: glucose 450, rapid deep breathing, fruity breath.",q:"Condition and symptom causes?",a:"DKA. No insulin causes fat breakdown and ketones. Acidosis triggers Kussmaul respirations."},
{p:400,s:"COPD patient on 2L O2 - family increases to 6L. Patient becomes drowsy.",q:"What is happening?",a:"CO2 narcosis. High O2 removes hypoxic drive causing hypoventilation."},
{p:600,s:"Post-thyroidectomy: mouth tingling, muscle cramps, positive Chvostek sign.",q:"Complication and why?",a:"Hypocalcemia from parathyroid damage. Treat with IV calcium gluconate."},
{p:800,s:"Trauma patient got 6 units PRBCs. Labs: pH 7.28, K+ 6.2, Ca 7.8, hypothermia.",q:"Massive transfusion complications?",a:"Acidosis, hyperkalemia, hypocalcemia, hypothermia."},
{p:1000,s:"Sepsis: BP 78/40, HR 128, lactate 6, urine 10 mL/hr x2 hours.",q:"What occurring and priorities?",a:"Septic shock. Fluids 30 mL per kg, cultures, antibiotics within 1 hour, vasopressors."}
]}
];
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function board(){
var h=css+'<div class="jG"><h1 class="t">Nursing Jeopardy</h1><p class="st">NSG 520 - Click any tile to start!</p>';
h+='<div class="sb"><div class="tm'+(J.tm===1?' on':'')+'"><h3>Team 1</h3><div class="sc '+(J.s1>=0?'ps':'ng')+'">$'+J.s1+'</div></div>';
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h+='<p class="tr">Team '+J.tm+' Pick</p><div class="bd">';
for(var i=0;i<6;i++)h+='<div class="ct">'+C[i].n+'</div>';
for(var r=0;r<5;r++)for(var c=0;c<6;c++){var k=c+'-'+r;h+=J.done[k]?'<button class="cl dn"></button>':'<button class="cl" onclick="jepPick('+c+','+r+')">$'+C[c].q[r].p+'</button>';}
h+='</div><div class="bt"><button class="rs" onclick="jepReset()">Reset</button><button class="mt" onclick="jepMute()">'+(J.mute?'🔇':'🔊')+'</button></div></div>';
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h+='<div class="ti"><span class="tb'+(J.tmr<=10?' w':'')+'">'+J.tmr+'s</span></div>';
h+='<div class="sx"><h4>Scenario:</h4><p>'+q.s+'</p></div>';
h+='<div class="qx"><h4>Question:</h4><p>'+q.q+'</p></div>';
h+='<div class="qb"><button class="bn rv" onclick="jepReveal()">Reveal Answer</button></div></div></div>';
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h+='<div class="qx"><h4>Question:</h4><p>'+q.q+'</p></div>';
h+='<div class="ax"><h4>Answer:</h4><p>'+q.a+'</p></div>';
h+='<div class="qb"><button class="bn cr" onclick="jepAns(1)">Correct +$'+q.p+'</button><button class="bn wr" onclick="jepAns(0)">Wrong -$'+q.p+'</button></div></div></div>';
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</script></includeonly>

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Docmoates at 01:29, 11 January 2026