A nurse in a primary care clinic reviews preventive screening recommendations for a 58-year-old man with a 30 pack-year smoking history who currently smokes and has no symptoms. The client's blood pressure is 148/92 mm Hg on initial measurement. Which actions align with current USPSTF recommendations? Select all that apply.
Select All That Apply
Choose your responses, then check the answer.
Explanation
USPSTF recommendations are specific to age, risk factors, and screening modality. Colorectal cancer screening begins at age 45 for average-risk adults, and annual fecal immunochemical testing is an accepted method. Lung cancer screening with annual low-dose computed tomography is recommended for adults aged 50 to 80 years with a 30 pack-year smoking history who currently smoke or quit within the past 15 years. A single elevated office blood pressure reading is not diagnostic; confirmation with out-of-office measurements is required before diagnosing hypertension. Chest radiography is not recommended for lung cancer screening. Osteoporosis screening is not routinely recommended for men at this age.
Clinical Reasoning USPSTF recommendations are specific to age, risk factors, and screening modality. Colorectal cancer screening begins at age 45 for average-risk adults, and annual fecal immunochemical testing is an accepted method. Lung cancer screening with annual low-dose computed tomography is recommended for adults aged 50 to 80 years with a 30 pack-year smoking history who currently smoke or quit within the past 15 years. A single elevated office blood pressure reading is not diagnostic; confirmation with out-of-office measurements is required before diagnosing hypertension. Chest radiography is not recommended for lung cancer screening. Osteoporosis screening is not routinely recommended for men at this age.
Option Review
Correct — Colorectal cancer screening is recommended for average-risk adults starting at age 45, and annual fecal immunochemical testing is an accepted strategy.
Correct — Annual low-dose computed tomography is recommended for adults aged 50 to 80 years with a 30 pack-year smoking history who currently smoke or quit within the past 15 years.
Incorrect — A single elevated office reading is insufficient to diagnose hypertension; confirmation with out-of-office measurements is required before initiating treatment.
Correct — Out-of-office confirmation with ambulatory or home blood pressure monitoring is recommended to confirm hypertension before diagnosis.
Incorrect — Chest radiography is not recommended for lung cancer screening; low-dose computed tomography is the recommended modality.
Incorrect — Osteoporosis screening is not routinely recommended for men at this age; it is recommended for women aged 65 and older and for younger women at increased risk.
Sources
12026 NCLEX-RN Test Plan
2USPSTF: Colorectal Cancer Screening
3USPSTF: Hypertension in Adults Screening
4USPSTF: Lung Cancer Screening
5USPSTF: Osteoporosis Screening
A nurse in a primary care clinic reviews preventive screening recommendations for a 58-year-old client with a 30 pack-year smoking history who currently smokes and has no symptoms. The client's blood pressure is 148/92 mm Hg on initial measurement.