A recent colonoscopy revealed an increased number of polyps in a 22-year-old patient with a history of moderately severe familial adenomatous polyposis (FAP). In planning care for the patient, the nurse recognizes that the medical recommendation for patients with familial adenomatous polyposis includes

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Patients with FAP have a high likelihood of developing colorectal cancer by age 40; therefore, total colectomy with ileostomy is recommended for these patients. Frequent colonoscopy is required, but patients are encouraged to have a colectomy. Patients with FAP have too many polyps to be removed by polypectomy. The patient has an 80% chance of developing colorectal cancer.

A Recent Colonoscopy Revealed an Increased Number of Polyps in a 22-Year-Old