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The Nurse Is Performing a Physical Assessment of a Client

Question 20

Multiple Choice

The nurse is performing a physical assessment of a client with a new diagnosis of colorectal cancer.The nurse notes the presence of visible peristaltic waves and,on auscultation,hears high-pitched bowel sounds.Which conclusion does the nurse draw from these findings?


A) The tumor has metastasized to the liver and biliary tract.
B) The tumor has caused an intussusception of the intestine.
C) The growing tumor has caused a partial bowel obstruction.
D) The client has developed toxic megacolon from the growing tumor.

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