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.
C
The presence of visible peristaltic waves, accompanied by high-pitched or tingling bowel sounds, is indicative of partial obstruction caused by the tumor. Assessment findings do not indicate me-tastasis to the liver, intussusception of the intestine, or toxic megacolon.
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The nurse must assess the mental health/mental illness of several new clients at the mental health
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