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Transcript

Exam 2 review

Cardiac Escape room

START

Introduction

"You and your friends finally made it out of the group chat to explore the abandoned hospital at the edge of UCF. Fat raindrops start pelting you as you enter the wooden structure, and the door slams shut behind you with a loud bang. The musty air clings to your skin as your flashlight flickers, casting eerie shadows across the dusty room. Suddenly, your friend Chris stops in his tracks, clutching his chest.'Guys... I don't feel right,' he gasps, his voice strained. You spin around, your heart racing, but for a different reason now. Chris is pale, beads of sweat forming on his forehead despite the cool air. He stumbles back, leaning against the wall, breathing heavily. You frantically reach for the door knob, but it must be jammed..."

Explore the hospital

Inventory

01

What interventions should you perform?

Grab the AED

Administer 324 mg of Aspirin

Obtain full history

02

You finish administering Aspirin and hook Chris up to the heart monitors. What is his rhythm?

2nd degree T2 HB

AFIB

STEMI

Bonus

03

All of a sudden, Chris's rhythm changes to this

NSR with PVC Bigemeny

NSR with PVC Couplets

Third degree HB

Bonus

04

Chris's rhythm changes again:

2 degree T2 HB

A-Flutter

AFIB with RVR

This is not correct...

Find the key to continue

Continue exploring the hospital

Inventory

01

There must be a ghost in here.. Chris's rhythm changes again:

Sinus tach

SVT

AFIB with RVR

VFIB

02

3 degree HB

Sinus brady

2 degree T1 HB

2 degree T2 HB

03

Bundle branch block

2 degree T2 HB

3 degree HB

2 degree T1 HB

Bonus

04

VFIB

V-Tach

Asystole

SVT

Bonus

05

2 degree Type 1 HB

2 degree Type 2 HB

AFIB

3 degree HB

You found a new item for your inventory

Continue exploring the hospital

Inventory

Use the magnifying glass to search for the code and then insert it into the typewriter

224

Enter the secret code

Code

01

What are clinical manifestations of infective endocarditis?

narrowed pulse pressure, muffled heart sounds

fever, heart murmur, janeway lesions

chest pain while laying down, pericardial rub

02

A nurse is caring for a patient diagnosed with myocarditis. Which of the following clinical manifestations should the nurse expect during the early stages of the condition?

Fatigue, dyspnea, and flu-like symptoms such as fever and myalgias

Sharp chest pain relieved by sitting forward and pericardial friction rub

Productive cough, crackles, and peripheral edema

03

What are some long term medications that someone would be put on, following a MI?

Morphine, nitroglycerin

Aspirin, atorvastatin, clopidegrel, carvedilol or atorvastatin

Tapazole, pantoprazole

04

A nurse is caring for a patient with a recent diagnosis of Rheumatic Heart Disease (RHD). Which of the following is a priority nursing intervention for managing this condition?

Educate the patient on proper use of bronchodilators for respiratory symptoms.

Administer beta blockers and ACE Inhibitors to decrease blood pressure

Administer antibiotics as prescribed to prevent recurrent streptococcal infections.

05

A nurse is caring for a patient with acute aortic valve regurgitation. Which of the following is a priority assessment finding that requires immediate intervention?

Fatigue and exertional dyspnea

Low-grade fever and diastolic murmur

Abrupt onset of chest pain and severe shortness of breath

A briefcase has appeared...

It's locked...look in the inventory for something to open it

Congratulations

You have recovered all the memories of the ghost! He releases Chris to a normal sinus rhythm. Chris, you and your friends escape the haunted hospital, with great relief.

Oh, no. You failed...

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