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檢視大腸直腸癌篩檢時程，並判斷糞便篩檢結果異常後的下一步。

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Time	Data
Age 45	Average-risk adult has no colorectal symptoms or family history. After shared decision-making, the client chooses annual FIT screening.平均風險成人無大腸直腸症狀或家族史。經共享決策後，個案選擇每年接受 FIT 篩檢。
Age 46	FIT result is negative. The client plans to repeat screening at the recommended interval.FIT 結果為陰性。個案計畫依建議間隔重複篩檢。
Age 47	FIT result is positive. The client feels well and asks to repeat the FIT instead of having colonoscopy.FIT 結果為陽性。個案自覺良好，要求重複 FIT 而非接受大腸鏡檢查。

Q1. How should the nurse interpret the age-47 result?護理師應如何解讀 47 歲的結果？

A cancer diagnosis that requires treatment without further evaluation癌症診斷，無需進一步評估即需治療 A normal result because the client has no symptoms正常結果，因為個案沒有症狀 An abnormal stool-based screen that requires diagnostic follow-up異常糞便篩檢結果，需要診斷性追蹤 A result that can be ignored until age 50可忽略至 50 歲的結果

Q2. What is the appropriate next step?適當的下一步是什麼？

Repeat FIT next week and accept a negative repeat as resolution下週重複 FIT，並接受陰性重複結果視為已解決 Wait for rectal bleeding or weight loss before acting等待直腸出血或體重減輕再處理 Return to routine annual FIT without discussing the positive result未討論陽性結果即恢復常規年度 FIT Coordinate follow-up colonoscopy and address preparation, transportation, and access barriers協調追蹤大腸鏡檢查，並處理準備、交通與可近性障礙

Q3. Which client statement demonstrates correct understanding?哪一項個案陳述顯示正確理解？

A positive FIT proves that I have colorectal cancerFIT 陽性證明我罹患大腸直腸癌 The positive result is not a diagnosis, but I still need the follow-up colonoscopy even without symptoms陽性結果並非診斷，但即使沒有症狀，我仍需要追蹤大腸鏡檢查 I can substitute another FIT for the recommended follow-up procedure我可以用另一次 FIT 取代建議的追蹤檢查 Screening only matters when symptoms begin只有出現症狀時篩檢才重要

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