Cardiac Meds Escape Room

Cardiac Meds Escape Room

NP125 Final Exam Review

start

Introduction

Theme: "Code Red in Cardiology: Save the patient, Solve the Puzzle!"

Learning Objectives: Apply knowledge of common cardiovascular medications Identify nursing considerations and side effects Recognize medication mechanisms of action Promote clinical judgement using clues and patient scenarios

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Tests

Complete each test to beat the game: there is no other way to escape!

Test 1

Test 2

Test 3

Final Test

Test 4

Test 5

Test 1

1/3

Scenario: A patient with a BP of 210/100mmHg is prescribed lisinopril. The nurse checks the lab results. Which finding should prompt the nurse to withhold the medication and notify the provider?

Potassium of 5.8mEq/L

Potassium 3.5 mEq/L

Test 1

2/3

Your patient is on digoxin for heart failure and reports nausea and blurred vision. Which symptoms indicate digoxin toxicity?

polyuria and polydipsia

bradycardia and visual changes

dry cough and hyperglycemia

Test 1

3/3

A patient receiving furosemide IV for heart failure develops muscle cramps, weak pulses and flattened T waves on ECG. Which electrolyte imbalance is most likely occuring?

Hyperkalemia

Hypernatremia

Hypocalcemia

Hypokalemia

Tests

Complete each test to beat the game: there is no other way to escape!

Test 2

Test 1

Test 3

Test 5

Final test

Test 4

1/3

continue

Test 2

Solución

Solution

Match each medication class on the left with its description or clincal use on the right.

Ace Inhibitors

A. Check HR and BP before administering

B. monitor for signs of toxicity: N/V, vision changes

Beta Blockers

C. Assess for dry cough, a common side effect

Calcium Channel Blockers

D. Assess peripheral edema and constipation

Nitrates

Cardiac Glycosides

E. can cause hypotension and headache

2/3

Test 2

The patient had a mechanical heart valve placed. They are on warfarin. You check the MAR. Match each item to either Heparin or Warfarin.

Heparin

Warfarin

Monitor INR

Antidote: vit K

Short half-life

Monitor aPTT

Reversed with Protamine sulfate

Administered orally

continuE

Solución

SOLUTION

Test 2

3/3

Patients taking ACE inhibitors are at risk for hyperkalemia due to reduced aldosterone secretion. True or False?

True

False

Tests

Complete each test to beat the game: there is no other way to escape!

Test 1

Test 2

Test 3

Test 4

Test 5

Final Test

Test 3

1/3

A nurse caring for a patient on warfarin notes the patient has just been prescribed trimethoprim-sulfamethoxazole. Recognizing the potential interaction, the nurse should anticipate that the patient's INR may increase, requiring close monitoring and possible dosage adjustment.

False

True

Test 3

2/3

Which of the following best describes how ACE inhibitors lower blood pressure?

B. They block beta-adrenergic receptors in the heart

A. They increase heart contractility and cardiac output

D. They reduce calcium influx into vascular smooth muscle

C. They inhibit the conversion of angiotensin I to angiotensin II

Test 3

3/3

Select the photo that illustrates the location that ACE inhibitors work.

Tests

Complete each test to beat the game: there is no other way to escape!

Test 1

Test 2

Test 3

Test 4

Test 5

Final Test

1/3

Test 4

continue

Solución

Solution

The nurse is preparing to administer a subcutaneous dose of enoxaparin (Lovenox) to a postoperative client. Place the nursing actions in the correct order of priority.

Select an appropriate SQ injection site (2in from umbilicus)

Identify the client using 2 patient identifiers

Document medication administration and site used

Verify the provider's order and check MAR for correct dose and time

Administer the enoxaparin dose, keeping the air bubble in the prefilled syringe

2/3

Test 4

The nurse is reviewing discharge instructions with a client prescribed rivaroxaban (Xarelto) for atrial fibrillation. Which client statement indicates the need for further teaching

"I should take this medication at the same time every day."

"I can take ibuprofen if I have a headache"

"I need to report signs of bleeding like blood in my urine or stool"

3/3

Test 4

Patient reports pain and tenderness to left lower leg. On your assessment you note the left lower leg is warmer to touch. What is your priority diagnosis?

Varicose Veins

Deep Vein Thrombosis

Compartment Syndrome

Tests

Complete each test to beat the game: there is no other way to escape!

Test 1

Test 2

Test 3

Test 4

Test 5

Final Test

1/3

Test 5

Scenario: A 56 year old client with hyperlipidemia is prescribed atrovastatin 40mg orally at bedtime. The client has a history of type 2 diabetes, hypertension, and is newly diagnosed with non-alcoholic fatty liver disease. At a follow-up appointment, the client reports new-onset muscle pain in both thighs. Labs are shown.Which finding is the priority concern the nurse should report to the provider?

LDL level of 92 mg/dL

Complaints of muscle pain

ALT of 62 U/L

Select the best rationale for each nursing action. Fill in the blank with the LETTER of the correct rationale.

• A. To prevent potential liver failure from continued medicaiton use.
• B. To reduce the risk of rhabdomyolysis and further muscle damage.
• C. Because CK levels are not related to statin use
• D. Because dark urine is a benign side effect of atorvastatin
• E. To monitor for signs of kidney involvement due to muscle breakdown

Tests

Complete each test to beat the game: there is no other way to escape!

Test 1

Test 2

Test 3

Final Test

Test 5

Test 4

1/3

Test 6

Scenario: A 74 year old male client with a history of hypertension and chronic A-fib is admitted with complaints of fatigue and dizziness. The client reports taking metoprolol tartrate 50mg twice daily as prescribed. The client reports feeling lightheaded but denies chest pain. Based on the client's current status, what is the nurse's priority action?

Administer the scheduled metoprolol dose and monitor for dizziness

Hold the metoprolol dose and notify the healthcare provider

Encourage fluids to raise the blood pressure

Test 6

2/3

continuE

3/3

Test 6

Scenario: You are preparing to administer metoprolol to a different client who has stable vital signs. Put the steps in the correct order to safely administer this medication.

Document the administration in the electronic health record

Check the client's apical heart rate for 1 full minute

Educate the client about the purpose and potential side effects

Verify the provider's order and the medication in the MAR

Administer the metoprolol if the heart rate is >60bpm

SOLUTION

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genial.ly

Heparin

monitor aPTT Short half life Protamine Sulfate

Warfain

Monitor INR Given Orally Vitamin K

Verify order

Check heart rate

Educate

Administer

Document

1 - C dry cough

2- A check HR

3 - D edema and constipation

4 - E headache

5 - B vision changes

1 - verify order

2- identify pt

3 - select site

4 - administer

5 - document