A 45-year-old client visits the clinic for an annual check-up and reports a family history of colorectal cancer in a first-degree relative. What is the MOST appropriate preventive care recommendation for this client?
Suggest annual stool testing to check for blood as an early sign of colorectal cancer.
Recommend a colonoscopy due to the client’s family history and increased risk.
Wait until the client reaches age 50 to start any colorectal cancer screening.
Advise adopting a high-fiber diet to help reduce the risk of colorectal cancer.
Recommending a colonoscopy is the most appropriate option as this client has a family history of colorectal cancer, which places them at increased risk. Per the American Cancer Society, average-risk individuals should begin colorectal cancer screening at age 45, but individuals with a family history may need screening earlier or more frequently. Annual stool testing and dietary changes are beneficial for overall health but are not as specific or effective in detecting cancer in higher-risk individuals. Waiting until age 50 would delay crucial screening and is no longer the recommended starting age for most individuals.
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