A client with Ankylosing Spondylitis is at risk for which of the following complications?
Kidney stones.
Decreased risk of osteoporosis.
Reduced lung capacity.
Improved cardiovascular health.
The Correct Answer is C
Choice A rationale:
"Kidney stones." Kidney stones are not a common complication of Ankylosing Spondylitis (AS).
While AS primarily affects the spine and joints, it does not directly increase the risk of kidney stones.
Therefore, this choice is not the correct answer.
Choice B rationale:
"Decreased risk of osteoporosis." AS is associated with an increased risk of osteoporosis, not a decreased risk.
The chronic inflammation and reduced mobility associated with AS can contribute to bone loss, making osteoporosis a potential complication.
Choice C rationale:
"Reduced lung capacity." Reduced lung capacity is a known complication of AS.
In severe cases, AS can lead to restrictive lung disease due to the fusion of the ribs to the spine.
This can restrict lung expansion and reduce lung capacity, leading to respiratory issues.
Choice D rationale:
"Improved cardiovascular health." AS itself does not typically lead to improved cardiovascular health.
In fact, chronic inflammation associated with AS may increase the risk of cardiovascular disease.
Therefore, this choice is not the correct answer.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"The inflammation in Ankylosing Spondylitis primarily occurs in the peripheral joints." Rationale: This statement is incorrect.
Ankylosing Spondylitis primarily affects the axial skeleton, including the spine and sacroiliac joints.
Peripheral joint involvement is less common and usually occurs in the later stages of the disease.
Choice B rationale:
"Immune cells infiltrate muscles, leading to muscle wasting in Ankylosing Spondylitis." Rationale: This statement is not accurate.
Ankylosing Spondylitis primarily involves inflammation of the spine and sacroiliac joints, rather than muscle tissue.
Muscle wasting is not a characteristic feature of AS.
Choice C rationale:
"Pro-inflammatory cytokines like TNF-α and IL-17 contribute to inflammation in Ankylosing Spondylitis." Rationale: This statement is correct.
Ankylosing Spondylitis is associated with increased levels of pro-inflammatory cytokines, including tumor necrosis factor-alpha (TNF-α) and interleukin-17 (IL-17).
These cytokines play a key role in the inflammation and tissue damage seen in AS.
Choice D rationale:
"The chronic inflammation in Ankylosing Spondylitis causes cartilage regeneration." Rationale: This statement is not accurate.
Chronic inflammation in AS can lead to structural damage and fusion of the spinal vertebrae (ankylosis), but it does not promote cartilage regeneration.
Correct Answer is C
Explanation
Choice A rationale:
"Avoid exercise to prevent joint stiffness." This statement is not accurate and is not a part of the recommended management for Ankylosing Spondylitis (AS).
Exercise is crucial in managing AS to prevent joint stiffness and maintain mobility.
Therefore, the nurse should not provide this advice.
Choice B rationale:
"Don't worry about your posture; it won't affect your condition." Proper posture is essential in managing AS to prevent further spinal deformities and reduce pain.
This statement is not accurate and should not be included in the nurse's advice to the patient.
Choice C rationale:
"Early diagnosis and prompt treatment are essential." This is the correct answer.
Early diagnosis and prompt treatment are indeed essential in managing AS.
Starting treatment early can help slow the progression of the disease and improve the patient's quality of life.
Therefore, the nurse should emphasize the importance of early intervention.
Choice D rationale:
"Smoking can help reduce the risk of severe symptoms." This statement is completely inaccurate and should not be included in the nurse's advice.
Smoking is detrimental to overall health and can worsen the symptoms of AS.
The nurse should strongly advise against smoking for AS patients.
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