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“Which diagnostic test should be performed annually after age 50 to screen for colon cancer? “a. Abdominal computed tomography (CT) b. Abdominal X-ray c. Colonoscopy d. Fecal occult blood test”
Answer d: Surface blood vessels of polyps and cancers are fragile and often bleed with the passage of stools, so a fecal occult blood test and CT scan can help establish tumor size and metastasis. A colonoscopy can help to locate a tumor as well as polyps, but is only recommended every 10 years.
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A nurse in a clinic is caring for a middle adult client who states, “The doctor says that, since I am at average risk for colon cancer, I should have a routine screening. What does that involve?” Which of the following responses should the nurse make? A. I’ll get a blood sample from you and send it for a screening test B. Beginning at age 60, you should have a colonoscopy C. You should have a fecal occult blood test every year D. The recommendation is to have a sigmoidoscopy every 10 years
C. You should have a fecal occult blood test every year Colorectal cancer screening for clients at average risk begins at age 50. One option for screening is a fecal occult blood test annually
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Colon cancer screening tests include all of the following, EXCEPT colonoscopy. colon-specific antigen test. flexible sigmoidoscopy. fecal occult blood test.
colon- specific antigen test
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Screening for colon cancer may be done in individuals, such as the elderly, who may be at greater risk than the average member of the population for colon cancer. Describe two general types of screening tests that are utilized—a fecal occult blood test (FOBT); and a sigmoidoscopy or colonoscopy. Describe each test and explain what the primary care provider looking for with each of these tests?
fecal occult blood test-looks for blood in your poop, or feces. It can be a sign of a problem in your digestive system, such as a growth, or polyp, or cancer in the colon or rectum. colonoscopy- uses a thin flexible camera, check for normal tissue, may biopsy polyps
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The nurse is conducting a community education program using the American Cancer Society’s colorectal screening and prevention guidelines. The nurse determines that the participants understand the teaching when they identify that people over the age of 50 should have which of the following screening tests every 10 years? A. Papanicolaou (Pap) B. Colonoscopy C. Prostate-specific antigen (PSA) D. Fecal occult blood test
B. Colonoscopy -Recommendations for screening for colorectal cancer include screening colonoscopies every 10 years. Fecal occult blood tests should be completed annually in people over age 50. PSA tests for prostate-specific antigen is used as a screening tool for prostate cancer. A Pap test is a screening tool for cervical cancer.
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Colorectal Cancer (CRC) Fecal Occult Blood Test (FOBT)
Involves getting two stool samples within three consecutive days. False-positive results can occur with the ingestion of some foods or drugs. In general, meat, NSAIDS, and vitamin C are avoided for 48 hours prior to testing.
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fecal occult blood test (FOBT) every 5 years
-should not be done with a specimen from a rectal exam because it is not reliable, tissue trauma may occur from exam -this should indicate bleeding in the tract -avoid taking: aspirin, vitamin C, red meat for 48 hours, anti inflammatory drugs (ibuprofen, corticosteroids, salicylates) -two or three samples taken for 3 consecutive days -negative result does not completely rule out CRC
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