During a routine health examination, a 30-year-old patient tells the nurse about a family history of colon cancer. The nurse will plan to
A. Schedule a sigmoidoscopy to provide baseline data about the patient
B. Teach the patient about the need for a colonoscopy at age 50
C. Have the patient ask the doctor about specific tests for colon cancer
D. Ask the patient to bring in a stool specimen to test for occult blood
Correct Answer: C. Have the patient ask the doctor about specific tests for colon cancer
Option C: The patient is at increased risk and should talk with the health care provider about needed tests, which will depend on factors such as the exact type of family history and any current symptoms.
Option A: The health care provider will take multiple factors into consideration before determining whether a sigmoidoscopy is needed at age 30.
Option B: Colonoscopy at age 50 is used to screen for individuals without symptoms or increased risk, but earlier testing may be needed for this patient because of family history.
Option D: For fecal occult blood testing, patients use a take-home multiple sample method rather than bring one specimen to the clinic.
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