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    Ati lpn paediatrics proctored exam

    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?

    Explanation & Rationale

    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.

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