Author Question: A nurse is explaining radiation side effects to the parents of a child for whom it has been ordered. ... (Read 29 times)

P68T · **on:** Jun 28, 2018

A nurse is explaining radiation side effects to the parents of a child for whom it has been ordered. Which side effects does the nurse include in the explanation? (Select all that apply.)

A.
Hair loss
B.
Leukocytosis
C.
Nausea
D.
Polycythemia
E.
Skin desquamation

Question 2

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

jaygar71 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, C, E
Common side effects of radiation include nausea, alopecia (hair loss), fatigue and malaise, low WBC, skin desquamation, and mucous membrane inflammation and irritation. Leukocytosis (high WBC count) and polycythemia (increased RBC count) are not seen.

Answer to Question 2

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.