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A 68-Year-Old Male Reports Painless Rectal Bleeding Occasionally Noted with Thin

Question 13

Multiple Choice

A 68-year-old male reports painless rectal bleeding occasionally noted with thin pencil-like stools,but no pain with defection.He has a history of colon polyp removal 10 years ago but was lost to follow-up.The nurse practitioner's appropriate intervention is:


A) Digital rectal exam and send home with 3 hemoccult to return
B) Immediate referral to gastroenterologist and colonoscopy
C) Order a screening sigmoidoscopy
D) Order a colonoscopy and barium enema and refer based on results

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