The following symptom(s) in the patient's history should raise the clinician's suspicion of colon cancer:

A. Alternating constipation and diarrhea
B. Narrowed caliber of stool
C. Hematochezia
D. All of the above


ANS: D
Colon cancer may be present for several years before symptoms appear. Complaints include fatigue, weakness, weight loss, alternating constipation and diarrhea, a change in the caliber of stool, tenesmus, urgency, and hematochezia. Physical examination is usually normal except in advanced disease, when the tumor can be palpated or hepatomegaly is present, owing to metastatic disease.

Nursing

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