The nurse is reading a patient's chart and notes the patient has a tumor stage of IV. Which describes the meaning of stage IV cancer?

Choice A reason: Fecal impaction typically presents with the inability to pass stool and may not be associated with the absence of bowel sounds.

Choice B reason: Incisional infection is usually indicated by localized redness, warmth, and possible discharge, not necessarily by the absence of bowel sounds or flatus.

Choice C reason: Health care-associated Clostridium difficile often presents with diarrhea, not the absence of bowel sounds or flatus.

Choice D reason: Paralytic ileus is characterized by impaired intestinal motility and transit, absence of the passage of flatus, diminished bowel sounds, abdominal distension, and intestinal dilatation, fitting the symptoms described.

Choice A reason: Patients with antisocial personality disorder often have difficulty adhering to societal norms and rules due to their disregard for the rights of others and lack of remorse for their actions.

Choice B reason: Listening to music is a leisure activity and does not typically involve compliance with rules or regulations, making it less likely to be difficult for the patient.

Choice C reason: Organizing a patient committee may involve cooperation and adherence to guidelines, which could be challenging but is not as fundamental as following hospital rules.

Choice D reason: Playing volleyball is a physical activity and, while it involves following game rules, it is not as comprehensive as abiding by hospital rules.