A 48-year-old woman has a temperature of 101.1°F three days after a total abdominal hysterectomy. She is using a morphine patient-controlled analgesia pump for pain control. She reports dull abdominal pain. She has not had a bowel movement and has not passed flatus. Blood pressure is 141/95 mmg and pulse is 105 beats/min. Lungs are clear to auscultation. The surgical site is erythematous without drainage. Bowel sounds are absent. The abdomen is appropriately tender to palpation in all 4 quadrants. There is no guarding or rebound tenderness. There is tympany to percussion. A kidney, ureters, and bladder (KUB) x-ray is ordered. Which of the following findings would be expected? (A) Air-fluid levels in the small intestine (B) Air under the diaphragm (C) Diffuse bowel distension (D) Dilated small intestine, compressed large intestine (E) Dilated large intestine
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