A student nurse is preparing to administer odansetron (Zofran) to a child receiving chemotherapy. The child weighs 44 lb (20 kg). Which actions by the student nurse require intervention by the faculty? (Select all that apply.)
A. Assesses the child's pain with a pediatric scale
B. Discusses side effects with the parents/child
C. Draws up 300 mg for IV administration
D. Prepares to administer 3 mg IV push
E. Withdraws a 200-mg suppository for use
ANS: A, C, E
Odansetron is an anti-emetic (not a pain medication) and can be given IV at 0.15 mg/kg, making the correct dose 3 mg. The faculty member should intervene if the student assesses pain, not nausea; draws up 300 mg; or tries to obtain a suppository for the child. Odansetron can also be given PO. Discussing side effects is a responsibility when giving medications.
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