A nurse prepares a client for a colonoscopy scheduled for tomorrow. The client states, "My doctor told me that the fecal occult blood test was negative for colon cancer. I don't think I need the colonoscopy and would like to cancel it."
How should the nurse respond?
a.
"Your doctor should not have given you that information prior to the colonoscopy."
b.
"The colonoscopy is required due to the high percentage of false negatives with the blood test."
c.
"A negative fecal occult blood test does not rule out the possibility of colon cancer."
d.
"I will contact your doctor so that you can discuss your concerns about the procedure."
ANS: C
A negative result from a fecal occult blood test does not completely rule out the possibility of colon cancer. To determine whether the client has colon cancer, a colonoscopy should be performed so the entire colon can be visualized and a tissue sample taken for biopsy. The client may want to speak with the provider, but the nurse should address the client's concerns prior to contacting the provider.
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