The nurse, caring for a child receiving chemotherapy, notes that the child's abdomen is firm and slightly distended. There is no record of a bowel movement for the last 2 days. What do these assessment findings suggest?
Peripheral neuropathy
Myelosuppression
Stomatitis
Hemorrhage
The Correct Answer is A
A. Peripheral neuropathy: Some chemotherapy drugs (e.g., vincristine) can cause neuropathy of the bowel, leading to constipation and abdominal distention.
B. Myelosuppression: This refers to bone marrow suppression, leading to anemia, neutropenia, and thrombocytopenia-not directly associated with bowel function.
C. Stomatitis: Inflammation of the mouth mucosa; causes oral pain and ulcers, but not abdominal symptoms.
D. Hemorrhage: Would present with signs like bruising or bleeding, not firm abdomen and constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Cola soda: Carbonated beverages can cause throat discomfort or stinging at the surgical site and may encourage coughing, which can disrupt clots.
B. Fresh-squeezed lemonade: Acidic liquids like lemonade can irritate the throat and cause pain or burning.
C. Apple juice: Non-acidic, clear fluids like apple juice are ideal post-tonsillectomy-hydrating, gentle, and non-irritating.
D. Milk: Milk and dairy products can thicken secretions, increasing the urge to clear the throat, which may dislodge healing clots.
Correct Answer is B
Explanation
A. An 18-month-old crying after cleft palate repair: Crying increases tension on sutures but is not immediately life-threatening.
B. An 8-year-old who is swallowing frequently after tonsillectomy: Frequent swallowing is an early sign of bleeding, a potentially life-threatening complication after tonsillectomy. Requires immediate attention.
C. A 15-year-old with IV pain at the insertion site: This may indicate infiltration or phlebitis but is not an immediate emergency.
D. A 12-year-old refusing to ambulate post-appendectomy: Ambulation is important to prevent complications, but refusal does not signal an urgent clinical issue.
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