The wife of a client with colorectal cancer (CRC) is talking to the nurse about prevention and screening of the disease. Which statement should the nurse make to the wife?
“A diet low in fat and high in fiber can help lower the risk, along with eating more fruit such as oranges.”
“When an adult turns 40 years of age, a colonoscopy should be done to screen for CRC, regardless of family history.”
“Those with average risk at age 50 and up should have a colonoscopy and fecal occult blood test every five years.”
“Those with average risk at age 50 and up should have a colonoscopy and fecal occult blood test every 10 years.”
Number 4 is correct.
Regular screening should begin at age 50 for those without a family history of CRC. Fecal occult blood testing and a colonoscopy should be done every 10 years or a double-contrast barium enema every 5 years. Screening should begin earlier and more frequently for those who have a personal or family history of CRC. Dietary guidelines include lowering fat and refined carbohydrates and eating high-fiber foods. At age 40, the client should discuss the need for screening with the health care provider.
