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학습 자료 둘러보기 →In a client with known colorectal cancer, the combination of bright red blood per rectum and severe abdominal pain is a critical red flag. This presentation suggests a surgical emergency such as bowel perforation or erosion into a major vessel.
Severe pain indicates peritoneal irritation from leaking luminal contents, while frank hematochezia signals active hemorrhage. Immediate nursing action includes withholding oral intake, establishing IV access, and notifying the provider for urgent surgical evaluation to prevent sepsis and hemorrhagic shock.
Do not dismiss these symptoms as routine cancer progression. Chronic findings like mild cramping, fatigue, or gradual weight loss do not take priority over acute peritoneal signs or active bleeding.
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