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| <noinclude> | | <noinclude> |
| Nursing Pharmacology Jeopardy Game for NSG 520 - Pathophysiology and Pharmacology | | Nursing Pharmacology Jeopardy Game for NSG 520 |
|
| |
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| ==Usage== | | ==Usage== |
| <nowiki>{{#widget:520Jeapordy}}</nowiki> | | <nowiki>{{#widget:520Jeapordy}}</nowiki> |
| </noinclude><includeonly><div id="jep520"> | | </noinclude><includeonly><div id="jepApp">Loading game...</div> |
| <style> | | <script type="text/javascript"> |
| #jep520 .jepgame { font-family: Arial, sans-serif; background: linear-gradient(135deg, rgb(30,58,95) 0%, rgb(12,25,41) 100%); padding: 20px; border-radius: 8px; max-width: 1200px; margin: 0 auto; }
| | //<![CDATA[ |
| #jep520 .jepgame * { margin: 0; padding: 0; box-sizing: border-box; }
| | (function(){ |
| #jep520 .jeptitle { text-align: center; color: rgb(251,191,36); font-size: 2rem; font-weight: bold; margin-bottom: 8px; }
| | var J={s1:0,s2:0,tm:1,done:{},cur:null,tmr:30,ti:null,el:null,mute:false,actx:null}; |
| #jep520 .jepsub { text-align: center; color: rgb(147,197,253); margin-bottom: 15px; font-size: 0.9rem; }
| | var C=[ |
| #jep520 .jepscores { display: flex; justify-content: center; gap: 30px; margin-bottom: 15px; }
| | {n:"Cardiovascular",q:[ |
| #jep520 .jepteam { background: rgb(30,64,175); padding: 10px 20px; border-radius: 8px; text-align: center; }
| | {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."}, |
| #jep520 .jepteam.on { box-shadow: 0 0 15px rgb(251,191,36); }
| | {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."}, |
| #jep520 .jepteam h3 { color: white; margin-bottom: 5px; font-size: 0.95rem; }
| | {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."}, |
| #jep520 .jepscore { font-size: 1.4rem; font-weight: bold; }
| | {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."}, |
| #jep520 .jeppos { color: rgb(74,222,128); }
| | {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."} |
| #jep520 .jepneg { color: rgb(248,113,113); }
| | ]}, |
| #jep520 .jepturn { text-align: center; color: rgb(251,191,36); font-size: 1rem; margin-bottom: 12px; }
| | {n:"Pain Mgmt",q:[ |
| #jep520 .jepboard { display: grid; grid-template-columns: repeat(6, 1fr); gap: 5px; margin-bottom: 15px; }
| | {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."}, |
| #jep520 .jepcat { background: rgb(30,64,175); color: white; padding: 10px 5px; text-align: center; font-weight: bold; font-size: 0.8rem; border-radius: 5px 5px 0 0; min-height: 50px; display: flex; align-items: center; justify-content: center; }
| | {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."}, |
| #jep520 .jepcell { background: rgb(37,99,235); color: rgb(251,191,36); padding: 15px 5px; text-align: center; font-size: 1.2rem; font-weight: bold; border-radius: 5px; cursor: pointer; border: none; width: 100%; }
| | {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."}, |
| #jep520 .jepcell:hover { background: rgb(59,130,246); }
| | {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."}, |
| #jep520 .jepcell.done { background: rgb(30,58,95); color: rgb(30,58,95); cursor: default; }
| | {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."} |
| #jep520 .jepreset { background: rgb(220,38,38); color: white; padding: 8px 16px; border-radius: 5px; font-weight: bold; cursor: pointer; border: none; }
| | ]}, |
| #jep520 .jepreset:hover { background: rgb(185,28,28); }
| | {n:"Teaching",q:[ |
| #jep520 .jepmute { background: rgb(30,64,175); color: white; padding: 8px 12px; border-radius: 5px; border: none; cursor: pointer; font-size: 1.1rem; margin-left: 10px; }
| | {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."}, |
| #jep520 .jeptips { text-align: center; color: rgb(147,197,253); font-size: 0.75rem; margin-top: 10px; }
| | {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."}, |
| #jep520 .jepqview { background: rgb(30,64,175); border-radius: 8px; padding: 20px; color: white; max-width: 700px; margin: 0 auto; }
| | {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."}, |
| #jep520 .jepqhead { text-align: center; margin-bottom: 15px; }
| | {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."}, |
| #jep520 .jepqcat { display: inline-block; background: rgb(251,191,36); color: rgb(30,58,95); padding: 5px 15px; border-radius: 15px; font-weight: bold; font-size: 0.9rem; }
| | {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."} |
| #jep520 .jepqteam { color: rgb(251,191,36); margin-top: 8px; }
| | ]}, |
| #jep520 .jepqtimer { text-align: center; margin-bottom: 12px; }
| | {n:"GI/Hepatic",q:[ |
| #jep520 .jeptbadge { display: inline-block; padding: 6px 16px; border-radius: 15px; font-size: 1.2rem; font-weight: bold; background: rgb(251,191,36); color: rgb(30,58,95); }
| | {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."}, |
| #jep520 .jeptbadge.warn { background: rgb(220,38,38); color: white; }
| | {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."}, |
| #jep520 .jepscenario { background: rgb(29,78,216); border-radius: 6px; padding: 12px; margin-bottom: 10px; }
| | {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."}, |
| #jep520 .jepscenario h4 { color: rgb(251,191,36); margin-bottom: 6px; font-size: 0.9rem; }
| | {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."}, |
| #jep520 .jepscenario p { font-size: 0.95rem; line-height: 1.4; }
| | {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."} |
| #jep520 .jepquest { background: rgb(37,99,235); border-radius: 6px; padding: 12px; margin-bottom: 10px; }
| | ]}, |
| #jep520 .jepquest h4 { color: rgb(251,191,36); margin-bottom: 6px; font-size: 0.9rem; }
| | {n:"Med Admin",q:[ |
| #jep520 .jepquest p { font-size: 1rem; font-weight: 600; }
| | {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."}, |
| #jep520 .jepans { background: rgb(22,101,52); border-radius: 6px; padding: 12px; margin-bottom: 10px; }
| | {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."}, |
| #jep520 .jepans h4 { color: rgb(251,191,36); margin-bottom: 6px; font-size: 0.9rem; }
| | {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."}, |
| #jep520 .jepans p { font-size: 0.95rem; line-height: 1.4; }
| | {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."}, |
| #jep520 .jepbtns { display: flex; gap: 10px; justify-content: center; flex-wrap: wrap; margin-top: 15px; }
| | {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."} |
| #jep520 .jepbtn { padding: 10px 20px; border-radius: 5px; font-weight: bold; cursor: pointer; border: none; font-size: 0.9rem; }
| | ]}, |
| #jep520 .jepreveal { background: rgb(251,191,36); color: rgb(30,58,95); }
| | {n:"Pathophys",q:[ |
| #jep520 .jepreveal:hover { background: rgb(252,211,77); }
| | {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."}, |
| #jep520 .jepcorrect { background: rgb(34,197,94); color: white; }
| | {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."}, |
| #jep520 .jepcorrect:hover { background: rgb(22,163,74); }
| | {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."}, |
| #jep520 .jepwrong { background: rgb(239,68,68); color: white; }
| | {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."}, |
| #jep520 .jepwrong:hover { background: rgb(220,38,38); }
| | {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."} |
| #jep520 .jepover { text-align: center; padding: 30px; }
| | ]} |
| #jep520 .jepover h1 { font-size: 2rem; color: rgb(251,191,36); margin-bottom: 15px; }
| | ]; |
| #jep520 .jepfinal { font-size: 1.2rem; color: white; margin-bottom: 10px; }
| | function initAudio(){ |
| #jep520 .jepwinner { font-size: 1.5rem; color: rgb(251,191,36); font-weight: bold; margin-bottom: 20px; }
| | if(!J.actx){try{J.actx=new(window.AudioContext||window.webkitAudioContext)();}catch(e){}} |
| </style>
| | if(J.actx&&J.actx.state==="suspended"){J.actx.resume();} |
| | | } |
| <div class="jepgame" id="jep520game"></div>
| | function tone(f,d,t,v){ |
| | | if(J.mute||!J.actx)return; |
| <script>
| | try{ |
| (function() {
| | var o=J.actx.createOscillator(); |
| var cats = [
| | var g=J.actx.createGain(); |
| {name:"Cardiovascular",q:[
| | o.connect(g); |
| {pts:200,s:"A 58-year-old patient with heart failure is prescribed digoxin. Before administering the medication, 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 the apical pulse is below 60 bpm in adults due to risk of toxicity and bradycardia."},
| | g.connect(J.actx.destination); |
| {pts:400,s:"A patient taking warfarin for atrial fibrillation has an INR of 4.8. The patient reports dark, tarry stools and dizziness.",q:"What is the priority nursing intervention?",a:"Hold warfarin, notify the provider immediately, and prepare for possible administration of Vitamin K. The patient shows signs of GI bleeding with supratherapeutic INR levels."},
| | o.frequency.value=f; |
| {pts:600,s:"A post-MI patient on a cardiac monitor suddenly shows a wide QRS complex rhythm at 180 bpm with no detectable pulse.",q:"What is this rhythm and what is the immediate action?",a:"Ventricular tachycardia (pulseless VT). Begin CPR immediately and prepare for defibrillation. This is a shockable rhythm requiring immediate intervention per ACLS protocol."},
| | o.type=t||"sine"; |
| {pts:800,s:"A patient with chronic heart failure is started on carvedilol. Two weeks later, the patient reports increased shortness of breath and weight gain of 5 lbs.",q:"Why might this occur and what should the nurse assess?",a:"Beta-blockers can initially worsen heart failure symptoms before providing long-term benefit. Assess for fluid retention, monitor daily weights, lung sounds, and edema."},
| | g.gain.value=v||0.3; |
| {pts:1000,s:"A hypertensive patient on lisinopril develops a persistent dry cough. The provider switches to losartan.",q:"What is the nurse's best explanation for this change?",a:"ACE inhibitors like lisinopril can cause dry cough due to bradykinin accumulation. ARBs like losartan work similarly but don't cause bradykinin buildup, so cough is not a side effect."}
| | g.gain.exponentialRampToValueAtTime(0.01,J.actx.currentTime+d); |
| ]},
| | o.start(); |
| {name:"Pain Mgmt",q:[
| | o.stop(J.actx.currentTime+d); |
| {pts:200,s:"A post-surgical patient rates their pain as 7/10 and requests PRN morphine. The last dose was given 3 hours ago, ordered every 4 hours.",q:"What is the appropriate nursing action?",a:"Offer non-pharmacological interventions (repositioning, ice/heat, relaxation) and reassess in 1 hour. Cannot give morphine until 4-hour interval has passed."},
| | }catch(e){} |
| {pts:400,s:"An elderly patient with dementia is grimacing, guarding their abdomen, and has increased restlessness but cannot verbally report pain.",q:"What pain assessment tool should the nurse use?",a:"Use a behavioral pain scale such as PAINAD (Pain Assessment in Advanced Dementia) or FLACC scale. Assess for nonverbal cues."},
| | } |
| {pts:600,s:"A patient with chronic back pain has been on oxycodone for 6 months and now requires higher doses to achieve the same pain relief.",q:"What phenomenon is this, and how is it different from addiction?",a:"This is tolerance - a physiological adaptation requiring higher doses. It differs from addiction, which involves compulsive use despite harm and loss of control."},
| | function sndSelect(){ |
| {pts:800,s:"A patient receiving IV morphine via PCA pump has a respiratory rate of 8, is difficult to arouse, and has pinpoint pupils.",q:"What is occurring and what are the priority interventions?",a:"Opioid overdose/toxicity. Stop PCA, stimulate patient, call for help, prepare naloxone (Narcan), support airway and breathing."},
| | initAudio(); |
| {pts:1000,s:"A patient with cancer pain is on around-the-clock MS Contin but still has breakthrough pain episodes.",q:"What medication regimen modification should the nurse anticipate?",a:"Add immediate-release morphine for breakthrough pain, typically 10-15 percent of the total 24-hour dose."}
| | tone(523,0.1,"sine",0.2); |
| ]},
| | setTimeout(function(){tone(659,0.1,"sine",0.2);},50); |
| {name:"Teaching",q:[
| | setTimeout(function(){tone(784,0.15,"sine",0.2);},100); |
| {pts:200,s:"A newly diagnosed diabetic patient needs insulin teaching. The patient appears anxious and keeps checking their phone.",q:"What should the nurse do before beginning education?",a:"Assess readiness to learn. Address anxiety first, minimize distractions, and determine the patient's learning style and priorities."},
| | } |
| {pts:400,s:"An elderly patient with newly prescribed warfarin has mild hearing loss and reads at a 6th-grade level.",q:"What teaching strategies should the nurse employ?",a:"Face the patient when speaking, use simple language, provide written materials at appropriate reading level with large print, use teach-back method."},
| | function sndCorrect(){ |
| {pts:600,s:"A patient is being discharged on metformin for type 2 diabetes. They ask if they can drink alcohol on weekends.",q:"What patient education should the nurse provide?",a:"Alcohol increases risk of lactic acidosis with metformin and can cause hypoglycemia. Recommend limiting alcohol and never drinking on empty stomach."},
| | initAudio(); |
| {pts:800,s:"A patient with CHF is being discharged. The nurse has 15 minutes to provide discharge teaching about medications, diet, activity, and warning signs.",q:"How should the nurse prioritize this teaching?",a:"Focus on survival skills: daily weights (report 2+ lb gain), sodium restriction basics, medication names/times, and warning signs requiring immediate attention."},
| | var n=[523,659,784,1047]; |
| {pts:1000,s:"A 16-year-old with newly diagnosed epilepsy needs teaching about phenytoin. The mother wants to handle all medication administration.",q:"What developmental considerations should guide the nurse's approach?",a:"Adolescents need autonomy. Include the teen in teaching, address concerns about appearance (gingival hyperplasia) and driving restrictions."}
| | for(var i=0;i<n.length;i++){ |
| ]},
| | (function(x){setTimeout(function(){tone(n[x],0.2,"sine",0.25);},x*100);})(i); |
| {name:"GI/Hepatic",q:[
| | } |
| {pts:200,s:"A patient with cirrhosis has a serum ammonia level of 95 mcg/dL (normal: 15-45). The patient is confused and has asterixis.",q:"What medication should the nurse anticipate and why?",a:"Lactulose - it acidifies the colon, converting ammonia to ammonium which cannot be absorbed, and promotes bowel movements to eliminate ammonia."},
| | } |
| {pts:400,s:"A patient post-cholecystectomy complains of severe right shoulder pain despite the surgery being abdominal.",q:"What causes this and what should the nurse do?",a:"Referred pain from CO2 used during laparoscopic surgery irritating the diaphragm. Encourage ambulation to absorb the gas."},
| | function sndWrong(){ |
| {pts:600,s:"A patient with peptic ulcer disease is prescribed omeprazole, clarithromycin, and amoxicillin for 14 days.",q:"What is this regimen treating and what teaching is essential?",a:"H. pylori eradication (triple therapy). Complete entire course even if feeling better, take PPI before meals, return for follow-up testing."},
| | initAudio(); |
| {pts:800,s:"A patient with acute pancreatitis has NG tube to suction, IV fluids, and NPO status. The patient asks why they can't eat.",q:"What is the nurse's best explanation?",a:"The pancreas needs rest to heal. Eating stimulates pancreatic enzyme secretion, which can worsen inflammation and pain."},
| | tone(200,0.3,"sawtooth",0.15); |
| {pts:1000,s:"A patient with Crohn's disease on long-term prednisone develops round face, central obesity, and blood glucose of 180 mg/dL.",q:"What is occurring and what patient education is needed?",a:"Cushing syndrome from chronic corticosteroid use. Never stop medication abruptly, report signs of infection, monitor blood glucose."}
| | setTimeout(function(){tone(150,0.4,"sawtooth",0.15);},150); |
| ]},
| | } |
| {name:"Med Admin",q:[
| | function sndReveal(){ |
| {pts:200,s:"A nurse is preparing to administer IV vancomycin. The pharmacy sends it to infuse over 30 minutes.",q:"What concern should the nurse have?",a:"Vancomycin infused too rapidly causes Red Man Syndrome - flushing, hypotension, rash. Should infuse over at least 60 minutes."},
| | initAudio(); |
| {pts:400,s:"A patient's MAR shows potassium chloride 40 mEq IV ordered. The nurse receives the medication as a 40 mEq vial.",q:"What must the nurse verify before administration?",a:"IV potassium must NEVER be given as bolus push - causes fatal arrhythmias. Verify diluted appropriately, infused via pump, max 10-20 mEq/hour."},
| | tone(440,0.1,"triangle",0.2); |
| {pts:600,s:"A nurse is to administer insulin lispro (Humalog) and insulin glargine (Lantus) to a diabetic patient before breakfast.",q:"How should these insulins be administered?",a:"Give in SEPARATE syringes - Lantus should never be mixed with other insulins as it can alter the action of both."},
| | setTimeout(function(){tone(554,0.1,"triangle",0.2);},100); |
| {pts:800,s:"A patient on IV heparin drip has an aPTT of 120 seconds (therapeutic range 60-80). The patient now needs an invasive procedure.",q:"What should the nurse do?",a:"Hold heparin infusion, notify provider. If urgent reversal needed, protamine sulfate is the antidote. Monitor for bleeding."},
| | setTimeout(function(){tone(659,0.2,"triangle",0.2);},200); |
| {pts:1000,s:"A patient receiving first dose of IV penicillin develops hives, wheezing, and BP drop to 80/50 after 5 minutes.",q:"What is occurring and list interventions in priority order?",a:"Anaphylaxis. 1) Stop infusion, 2) Call for help, 3) Epinephrine IM, 4) Maintain airway, 5) IV fluids, 6) Diphenhydramine/corticosteroids."}
| | } |
| ]},
| | var css='<style>#jepApp .jG{font-family:Arial,sans-serif;background:linear-gradient(135deg,rgb(30,58,95),rgb(12,25,41));padding:15px;border-radius:8px;color:white}#jepApp .jG *{margin:0;padding:0;box-sizing:border-box}#jepApp .t{text-align:center;color:rgb(251,191,36);font-size:1.6rem;font-weight:bold;margin-bottom:5px}#jepApp .st{text-align:center;color:rgb(147,197,253);margin-bottom:10px;font-size:.8rem}#jepApp .sb{display:flex;justify-content:center;gap:20px;margin-bottom:8px}#jepApp .tm{background:rgb(30,64,175);padding:8px 15px;border-radius:6px;text-align:center}#jepApp .tm.on{box-shadow:0 0 10px rgb(251,191,36)}#jepApp .tm h3{color:white;font-size:.8rem;margin-bottom:2px}#jepApp .sc{font-size:1.1rem;font-weight:bold}#jepApp .ps{color:rgb(74,222,128)}#jepApp .ng{color:rgb(248,113,113)}#jepApp .tr{text-align:center;color:rgb(251,191,36);font-size:.85rem;margin-bottom:8px}#jepApp .bd{display:grid;grid-template-columns:repeat(6,1fr);gap:3px;margin-bottom:10px}#jepApp .ct{background:rgb(30,64,175);color:white;padding:6px 3px;text-align:center;font-weight:bold;font-size:.65rem;border-radius:3px 3px 0 0;min-height:35px;display:flex;align-items:center;justify-content:center}#jepApp .cl{background:rgb(37,99,235);color:rgb(251,191,36);padding:10px 3px;text-align:center;font-size:.9rem;font-weight:bold;border-radius:3px;cursor:pointer;border:none}#jepApp .cl:hover{background:rgb(59,130,246)}#jepApp .cl.dn{background:rgb(30,58,95);color:transparent;cursor:default}#jepApp .bt{text-align:center}#jepApp .rs{background:rgb(220,38,38);color:white;padding:5px 10px;border-radius:3px;font-weight:bold;cursor:pointer;border:none;font-size:.75rem;margin-right:5px}#jepApp .mt{background:rgb(30,64,175);color:white;padding:5px 10px;border-radius:3px;font-weight:bold;cursor:pointer;border:none;font-size:.9rem}#jepApp .qv{background:rgb(30,64,175);border-radius:6px;padding:12px;max-width:550px;margin:0 auto}#jepApp .qh{text-align:center;margin-bottom:8px}#jepApp .qc{display:inline-block;background:rgb(251,191,36);color:rgb(30,58,95);padding:3px 10px;border-radius:10px;font-weight:bold;font-size:.75rem}#jepApp .qt{color:rgb(251,191,36);margin-top:4px;font-size:.75rem}#jepApp .ti{text-align:center;margin-bottom:6px}#jepApp .tb{display:inline-block;padding:4px 10px;border-radius:10px;font-size:.9rem;font-weight:bold;background:rgb(251,191,36);color:rgb(30,58,95)}#jepApp .tb.w{background:rgb(220,38,38);color:white}#jepApp .sx{background:rgb(29,78,216);border-radius:4px;padding:8px;margin-bottom:6px}#jepApp .sx h4{color:rgb(251,191,36);font-size:.7rem;margin-bottom:3px}#jepApp .sx p{font-size:.8rem;line-height:1.3}#jepApp .qx{background:rgb(37,99,235);border-radius:4px;padding:8px;margin-bottom:6px}#jepApp .qx h4{color:rgb(251,191,36);font-size:.7rem;margin-bottom:3px}#jepApp .qx p{font-size:.85rem;font-weight:600}#jepApp .ax{background:rgb(22,101,52);border-radius:4px;padding:8px;margin-bottom:6px}#jepApp .ax h4{color:rgb(251,191,36);font-size:.7rem;margin-bottom:3px}#jepApp .ax p{font-size:.8rem;line-height:1.3}#jepApp .qb{display:flex;gap:6px;justify-content:center;flex-wrap:wrap;margin-top:8px}#jepApp .bn{padding:6px 12px;border-radius:3px;font-weight:bold;cursor:pointer;border:none;font-size:.75rem}#jepApp .rv{background:rgb(251,191,36);color:rgb(30,58,95)}#jepApp .cr{background:rgb(34,197,94);color:white}#jepApp .wr{background:rgb(239,68,68);color:white}#jepApp .ov{text-align:center;padding:15px}#jepApp .ov h1{font-size:1.5rem;color:rgb(251,191,36);margin-bottom:8px}#jepApp .fn{font-size:.9rem;margin-bottom:3px}#jepApp .wn{font-size:1.1rem;color:rgb(251,191,36);font-weight:bold;margin-bottom:12px}</style>'; |
| {name:"Pathophys",q:[
| | function board(){ |
| {pts:200,s:"A patient with uncontrolled diabetes has blood glucose of 450 mg/dL, breathing rapidly and deeply, and fruity-smelling breath.",q:"What condition is this and what causes these symptoms?",a:"Diabetic Ketoacidosis (DKA). Lack of insulin causes fat breakdown producing ketones. Metabolic acidosis triggers Kussmaul respirations."},
| | var h=css+'<div class="jG"><h1 class="t">Nursing Jeopardy</h1><p class="st">NSG 520 - Click any tile to start!</p>'; |
| {pts:400,s:"A patient with COPD on 2L nasal cannula has oxygen increased to 6L by family. The patient becomes increasingly drowsy.",q:"What is happening physiologically?",a:"CO2 narcosis. COPD patients rely on hypoxic drive. High-flow oxygen removes this drive, causing hypoventilation and CO2 retention."},
| | h+='<div class="sb"><div class="tm'+(J.tm===1?' on':'')+'"><h3>Team 1</h3><div class="sc '+(J.s1>=0?'ps':'ng')+'">$'+J.s1+'</div></div>'; |
| {pts:600,s:"A patient after thyroidectomy develops tingling around the mouth, muscle cramps, and positive Chvostek's sign.",q:"What complication is this and why does it occur?",a:"Hypocalcemia due to damage to parathyroid glands during surgery. Treat with IV calcium gluconate."},
| | h+='<div class="tm'+(J.tm===2?' on':'')+'"><h3>Team 2</h3><div class="sc '+(J.s2>=0?'ps':'ng')+'">$'+J.s2+'</div></div></div>'; |
| {pts:800,s:"A trauma patient receives 6 units of PRBCs. Labs show: pH 7.28, K+ 6.2 mEq/L, calcium 7.8 mg/dL, hypothermia.",q:"What complications of massive transfusion are occurring?",a:"Metabolic acidosis, hyperkalemia (K+ leaks from stored RBCs), hypocalcemia (citrate binds calcium), and hypothermia."},
| | h+='<p class="tr">Team '+J.tm+' Pick</p><div class="bd">'; |
| {pts:1000,s:"A patient with severe sepsis has: BP 78/40, HR 128, lactate 6 mmol/L, urine output 10 mL/hr for 2 hours.",q:"What is occurring and what are the priority interventions?",a:"Septic shock. Fluid resuscitation (30 mL/kg), obtain cultures, broad-spectrum antibiotics within 1 hour, vasopressors if needed."}
| | 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>'; |
| | | J.el.innerHTML=h; |
| var st = {sc1:0, sc2:0, tm:1, done:{}, cur:null, tmr:30, ti:null, mute:false, actx:null};
| | } |
| var game = document.getElementById('jep520game');
| | function question(){ |
| | | var c=C[J.cur.c],q=c.q[J.cur.r]; |
| function tone(f,d,t,v) {
| | var h=css+'<div class= "jG">< div class=" qv">< div class="qh"> <span class="qc">'+c.n+' - $'+q.p+' </span><p class=" qt"> Team '+J.tm+'</p ></div>'; |
| if(st.mute||!st.actx)return;
| | h+='<div class="ti"><span class="tb'+(J.tmr<=10?' w':'')+'">'+J.tmr+'s</span></div>'; |
| var o=st.actx.createOscillator(),g=st.actx.createGain();
| | h+='<div class=" sx"> <h4>Scenario: </h4><p>'+ q. s+'</ p></div>'; |
| o.connect(g);g.connect(st.actx.destination);
| | h+='<div class="qx"><h4>Question:</h4><p>'+q.q+'</p></div>'; |
| o.frequency.value=f;o.type=t||'sine';g.gain.value=v||0.3;
| | h+='<div class="qb"><button class="bn rv" onclick="jepReveal()">Reveal Answer</button></div></div></div>'; |
| g.gain.exponentialRampToValueAtTime(0.01,st.actx.currentTime+d);
| | J.el.innerHTML=h; |
| o.start();o.stop(st.actx.currentTime+d);
| | } |
| }
| | function answer(){ |
| | | var c=C[J.cur.c],q=c.q[J.cur.r]; |
| function sndSelect() {
| | var h =css+'<div class=" jG"><div class="qv"> <div class= "qh">< span class="qc">'+c. n+ ' - $'+ q. p+'< /span><p class=" qt" >Team '+J.tm+'</p></ div>'; |
| if(!st.actx)st.actx=new(window.AudioContext||window.webkitAudioContext)();
| | h+='<div class="sx"><h4>Scenario:</h4><p>'+q.s+'</p></div>'; |
| if(st.actx.state==='suspended')st.actx.resume();
| | h+='<div class="qx"><h4>Question:</h4><p>'+q.q+'</p></div>'; |
| tone(523,0.1,'sine',0.2);
| | h+='<div class="ax"><h4>Answer:</h4><p>'+q.a+'</p></div>'; |
| setTimeout(function(){tone(659,0.1,'sine',0.2);},50);
| | h+='<div class="qb"><button class="bn cr" onclick="jepAns(1)">Correct +$'+q.p+'</button><button class="bn wr" onclick="jepAns(0)">Wrong -$'+q.p+'</button></div></div></div>'; |
| setTimeout(function(){tone(784,0.15,'sine',0.2);},100);
| | J.el.innerHTML=h; |
| }
| | } |
| | | function gameover(){ |
| function sndCorrect() {
| | var w=J.s1>J.s2?'Team 1 Wins!':J.s2>J.s1?'Team 2 Wins!':'Tie!'; |
| [523,659,784,1047].forEach(function(f,i){setTimeout(function(){tone(f,0.2,'sine',0.25);},i*100);});
| | var h= css+'<div class=" jG"><div class=" qv ov">< h1>Game Over!</h1><p class=" fn"> Team 1: $'+ J. s1+'</ p><p class=" fn">Team 2: $'+ J. s2+'</p ><p class="wn">'+ w+'</ p>< button class=" bn rv" onclick=" jepReset()"> Play Again</button></ div></div>'; |
| }
| | J.el.innerHTML=h; |
| | | } |
| function sndWrong() {
| | window.jepPick=function(c,r){ |
| tone(200,0.3,'sawtooth',0.15);
| | if(J.done[c+'-'+r])return; |
| setTimeout(function(){tone(150,0.4,'sawtooth',0.15);},150);
| | sndSelect(); |
| }
| | J.cur={c:c,r:r}; |
| | | J.tmr=30; |
| function sndReveal() {
| | clearInterval(J.ti); |
| tone(440,0.1,'triangle',0.2);
| | J.ti=setInterval(function(){J.tmr--;if(J.tmr<=0)clearInterval(J.ti);question();},1000); |
| setTimeout(function(){tone(554,0.1,'triangle',0.2);},100);
| | question(); |
| setTimeout(function(){tone(659,0.2,'triangle',0.2);},200);
| | }; |
| }
| | window.jepReveal=function(){ |
| | | clearInterval(J.ti); |
| function renderBoard() {
| | sndReveal(); |
| var h = '<h1 class="jeptitle">🏥 Nursing Pharmacology Jeopardy</h1>';
| | answer(); |
| h + = '<p class=" jepsub"> NSG 520 - Pathophysiology and Pharmacology</p>'; | | }; |
| h += '<div class=" jepscores"> '; | | window.jepAns=function(ok){ |
| h += '<div class="jepteam'+( st. tm= ==1?' on':'')+'">< h3> Team 1</ h3><div class=" jepscore '+(st.sc1> =0?'jeppos': 'jepneg')+'"> $'+ st. sc1+'</ div></div>'; | | clearInterval(J.ti); |
| h += '<div class=" jepteam'+(st.tm===2?' on':'')+'">< h3> Team 2</ h3>< div class="jepscore '+(st.sc2> =0?'jeppos':' jepneg')+ '">$'+st. sc2+'</ div></div>'; | | if(ok){sndCorrect();}else{sndWrong();} |
| h += '</div>';
| | var q=C[J.cur.c].q[J.cur.r]; |
| h += '<p class="jepturn">🎯 Team '+st.tm+'\'s Turn to Pick</p>';
| | if(J.tm===1)J.s1+=ok?q.p:-q.p;else J.s2+=ok?q.p:-q.p; |
| h += '<div class="jepboard">'; | | J.done[J.cur.c+'-'+J.cur.r]=true; |
| for(var c=0;c<cats.length;c++){
| | J.tm=J.tm===1?2:1; |
| h + = '<div class=" jepcat"> '+cats[c].name+'< /div> '; | | J.cur=null; |
| }
| | Object.keys(J.done).length===30?gameover():board(); |
| for(var r=0;r<5;r++){
| | }; |
| for(var c=0;c<cats.length;c++){
| | window.jepReset=function(){ |
| var k=c+'-'+r;
| | clearInterval(J.ti); |
| if(st.done[k]){
| | J.s1=0;J.s2=0;J.tm=1;J.done={};J.cur=null;J.tmr=30; |
| h += '<button class="jepcell done"></button>';
| | board(); |
| }else{
| | }; |
| h += '<button class="jepcell" onclick="jep520click('+c+','+r+')">$'+cats[c].q[r].pts+'</button>';
| | window.jepMute=function(){ |
| }
| | J.mute=!J.mute; |
| }
| | board(); |
| }
| | }; |
| h += '</div>';
| | function init(){J.el=document.getElementById("jepApp");if(J.el)board();} |
| h += '<div style=" text-align: center;">'; | | if(document.readyState==="loading"){document.addEventListener("DOMContentLoaded",init);}else{init();} |
| h += '<button class="jepreset" onclick="jep520reset()">Reset Game</button>';
| |
| h += '<button class="jepmute" onclick="jep520mute()">'+(st.mute?'🔇':'🔊')+'</button>';
| |
| h += '</div>';
| |
| h += '<p class="jeptips">💡 Questions increase in difficulty with point value | 🎵 Sound effects included</p>';
| |
| game.innerHTML = h;
| |
| }
| |
| | |
| function renderQuestion() {
| |
| var c = cats[st.cur.c];
| |
| var q = c.q[st.cur.r];
| |
| var h = '<div class=" jepqview"> '; | |
| h += '<div class=" jepqhead"> '; | |
| h += '<span class="jepqcat">'+c.name+' - $'+q.pts+'</span>';
| |
| h += '<p class=" jepqteam">Team '+ st. tm+' \'s Turn</p>' ; | |
| h += '</div>';
| |
| h += '<div class="jepqtimer"><span class="jeptbadge'+(st.tmr<=10?' warn':'')+'">⏱️ '+st.tmr+'s</span></div>';
| |
| h += '<div class="jepscenario"><h4>📋 Scenario:</h4><p>'+q.s+'</p></div>';
| |
| h += '<div class="jepquest"><h4>❓ Question:</h4><p>'+q.q+'</p></div>';
| |
| h += '<div class="jepbtns"><button class="jepbtn jepreveal" onclick="jep520reveal()">Reveal Answer</button></div>';
| |
| h += '</div>';
| |
| game.innerHTML = h;
| |
| }
| |
| | |
| function renderAnswer() {
| |
| var c = cats[st.cur.c];
| |
| var q = c.q[st.cur.r];
| |
| var h = '<div class="jepqview">';
| |
| h += '<div class="jepqhead">';
| |
| h += '<span class="jepqcat">'+c.name+' - $'+q.pts+'</span>';
| |
| h += '<p class="jepqteam">Team '+st.tm+'\'s Turn</p>';
| |
| h += '</div>';
| |
| h += '<div class="jepscenario"><h4>📋 Scenario:</h4><p>'+q.s+'</p></div>';
| |
| h += '<div class="jepquest"><h4>❓ Question:</h4><p>'+q.q+'</p></div>';
| |
| h += '<div class="jepans"><h4>✅ Answer:</h4><p>'+q.a+'</p></div>';
| |
| h += '<div class="jepbtns">';
| |
| h += '<button class="jepbtn jepcorrect" onclick="jep520ans(true)">✓ Correct (+$'+q.pts+')</button>';
| |
| h += '<button class="jepbtn jepwrong" onclick="jep520ans(false)">✗ Incorrect (-$'+q.pts+')</button>';
| |
| h += '</div>';
| |
| h += '</div>';
| |
| game.innerHTML = h;
| |
| }
| |
| | |
| function renderGameOver() {
| |
| var w = st.sc1>st.sc2 ? 'Team 1 Wins!' : (st.sc2>st.sc1 ? 'Team 2 Wins!' : "It's a Tie!");
| |
| var h = '<div class="jepqview jepover">';
| |
| h += '<h1>🏆 Game Over!</h1>';
| |
| h += '<p class="jepfinal">Team 1: $'+st.sc1+'</p>';
| |
| h += '<p class="jepfinal">Team 2: $'+st.sc2+'</p>';
| |
| h += '<p class="jepwinner">'+w+'</p>';
| |
| h += '<button class="jepbtn jepreveal" onclick="jep520reset()">Play Again</button>';
| |
| h += '</div>';
| |
| game.innerHTML = h;
| |
| }
| |
| | |
| function startTimer() {
| |
| st.tmr = 30;
| |
| st.ti = setInterval(function() {
| |
| st.tmr--;
| |
| if(st.tmr <= 0) {
| |
| clearInterval(st.ti);
| |
| st.ti = null;
| |
| }
| |
| renderQuestion();
| |
| }, 1000);
| |
| }
| |
| | |
| function stopTimer() {
| |
| if(st.ti) {
| |
| clearInterval(st.ti);
| |
| st.ti = null;
| |
| }
| |
| }
| |
| | |
| window.jep520click = function(c, r) {
| |
| var k = c+'-'+r;
| |
| if(st.done[k]) return;
| |
| sndSelect();
| |
| st.cur = {c:c, r:r};
| |
| startTimer();
| |
| renderQuestion();
| |
| };
| |
| | |
| window.jep520reveal = function() {
| |
| stopTimer();
| |
| sndReveal();
| |
| renderAnswer();
| |
| };
| |
| | |
| window.jep520ans = function(correct) {
| |
| stopTimer();
| |
| var q = cats[st.cur.c].q[st.cur.r];
| |
| if(correct) {
| |
| sndCorrect();
| |
| if(st.tm===1) st.sc1 += q.pts; else st.sc2 += q.pts;
| |
| } else {
| |
| sndWrong();
| |
| if(st.tm===1) st.sc1 -= q.pts; else st.sc2 -= q.pts;
| |
| }
| |
| st.done[st.cur.c+'-'+st.cur.r] = true;
| |
| st.tm = st.tm===1 ? 2 : 1;
| |
| st.cur = null;
| |
| if(Object.keys(st.done).length === cats.length * 5) {
| |
| renderGameOver();
| |
| } else {
| |
| renderBoard();
| |
| }
| |
| };
| |
| | |
| window.jep520reset = function() {
| |
| stopTimer();
| |
| st.sc1 = 0;
| |
| st.sc2 = 0;
| |
| st.tm = 1;
| |
| st.done = {};
| |
| st.cur = null;
| |
| st.tmr = 30;
| |
| renderBoard();
| |
| };
| |
| | |
| window.jep520mute = function() {
| |
| st.mute = !st.mute;
| |
| renderBoard();
| |
| };
| |
| | |
| renderBoard();
| |
| })(); | | })(); |
| </script>
| | //]]> |
| </div></includeonly> | | </script></includeonly> |