The nurse is assessing several children with polyps in the colon and rectum. Which child is at highest risk of developing colorectal cancer in adulthood?
A)A 4-year-old with isolated juvenile polyps
B)A 6-month-old with diffuse juvenile polyposis of infancy
C)A 12-year-old with juvenile polyposis coli
D)A 7-year-old with adenomatous polyps

Question

Quizplus · Accepted Answer

A)Children who develop juvenile polyposis or juvenile polyposis coli have an increased risk of developing colorectal cancer in adulthood by as much as 50%. Adenomatous polyps also increase the risk for malignancy as adults, but this risk is not as high as 50%. Isolated juvenile polyps lack malignant potential. Diffuse juvenile polyposis of infancy is almost always fatal, so the client is not likely to reach adulthood.
B)Children who develop juvenile polyposis or juvenile polyposis coli have an increased risk of developing colorectal cancer in adulthood by as much as 50%. Adenomatous polyps also increase the risk for malignancy as adults, but this risk is not as high as 50%. Isolated juvenile polyps lack malignant potential. Diffuse juvenile polyposis of infancy is almost always fatal, so the client is not likely to reach adulthood.
C)Children who develop juvenile polyposis or juvenile polyposis coli have an increased risk of developing colorectal cancer in adulthood by as much as 50%. Adenomatous polyps also increase the risk for malignancy as adults, but this risk is not as high as 50%. Isolated juvenile polyps lack malignant potential. Diffuse juvenile polyposis of infancy is almost always fatal, so the client is not likely to reach adulthood.
D)Children who develop juvenile polyposis or juvenile polyposis coli have an increased risk of developing colorectal cancer in adulthood by as much as 50%. Adenomatous polyps also increase the risk for malignancy as adults, but this risk is not as high as 50%. Isolated juvenile polyps lack malignant potential. Diffuse juvenile polyposis of infancy is almost always fatal, so the client is not likely to reach adulthood.

The Nurse Is Assessing Several Children with Polyps in the Colon