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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.

Answer and Explanation

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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Correct Answer is ["A","B","D"]

Explanation

Choice A rationale:

"Limited range of motion in the spine." Rationale: Limited range of motion in the spine is a common clinical manifestation of Ankylosing Spondylitis (AS).

The inflammation and eventual fusion of the spinal vertebrae can lead to stiffness and reduced flexibility in the spine.

Choice B rationale:

"Pain and stiffness in the back and pelvis." Rationale: Pain and stiffness in the back and pelvis are hallmark symptoms of Ankylosing Spondylitis.

These symptoms are typically worse in the morning and improve with physical activity.

Choice C rationale:

"Swelling and redness in the fingers and toes." Rationale: Swelling and redness in the fingers and toes are not typical clinical manifestations of Ankylosing Spondylitis.

These symptoms are more characteristic of other rheumatic conditions, such as rheumatoid arthritis.

Choice D rationale:

"Fatigue and muscle weakness." Rationale: Fatigue and muscle weakness can be associated with Ankylosing Spondylitis, especially when the disease is active.

Chronic inflammation and pain can lead to fatigue, and muscle weakness may occur as a result of reduced physical activity.

Choice E rationale:

"Skin rashes and lesions." Rationale: Skin rashes and lesions are not common clinical manifestations of Ankylosing Spondylitis.

These symptoms are more commonly associated with other autoimmune or dermatological conditions.

A. "Environmental factors, such as bacterial infections, are the primary cause of Ankylosing Spondylitis.” B. "Ankylosing Spondylitis predominantly affects females.” C. "The HLA-B27 gene is not associated with an increased risk of Ankylosing Spondylitis.” D. "Symptoms of Ankylosing Spondylitis typically manifest in childhood.”

Correct Answer is A

Explanation

Choice A rationale:

Environmental factors, such as bacterial infections, are the primary cause of Ankylosing Spondylitis.

Rationale: Ankylosing Spondylitis (AS) is believed to have a multifactorial etiology, and while genetics play a significant role (particularly the HLA-B27 gene), environmental factors, such as bacterial infections, have been implicated in triggering the condition.

Certain bacteria, such as Klebsiella pneumoniae, have been associated with AS, and their presence may exacerbate inflammation in genetically predisposed individuals.

This statement accurately reflects the current understanding of AS's etiology.

Choice B rationale:

"Ankylosing Spondylitis predominantly affects females." Rationale: This statement is incorrect.

Ankylosing Spondylitis is more common in males than in females.

It has a male-to-female ratio of approximately 3:1.

Therefore, it predominantly affects males, not females.

Choice C rationale:

"The HLA-B27 gene is not associated with an increased risk of Ankylosing Spondylitis." Rationale: This statement is incorrect.

The HLA-B27 gene is strongly associated with an increased risk of Ankylosing Spondylitis.

In fact, it is one of the most significant genetic risk factors for the development of AS.

Over 90% of individuals with AS are HLA-B27 positive.

Choice D rationale:

"Symptoms of Ankylosing Spondylitis typically manifest in childhood." Rationale: This statement is incorrect.

Ankylosing Spondylitis symptoms typically do not manifest in childhood.

The onset of AS symptoms usually occurs in late adolescence or early adulthood, typically between the ages of 17 and 45.

It is rare for AS symptoms to appear in childhood.

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A client with Ankylosing Spondylitis is at risk for which of the following complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient with Ankylosing Spondylitis.Which of the following clinical manifestations should the nurse expect? (Select all that apply).

Correct Answer is ["A","B","D"]

Explanation

A nurse is discussing the causes of Ankylosing Spondylitis with a patient.Which statement accurately describes a risk factor associated with this condition?

Correct Answer is A

Explanation

A nurse is assessing a patient with Ankylosing Spondylitis.Select all the appropriate nursing interventions for this patient.

A client with Ankylosing Spondylitis asks the nurse about treatment options.What should the nurse include in the response?

A nurse is discussing preventive measures for Ankylosing Spondylitis with a patient.What advice should the nurse provide to the patient?

A nurse is educating a client about the pharmacological management of Ankylosing Spondylitis.Which class of medications is considered the first-line treatment to reduce inflammation and relieve pain in this condition?

During a nursing assessment of a client with Ankylosing Spondylitis, the nurse observes that the client is experiencing buttock pain and stiffness that may radiate to the hips and thighs.Which statement made by the client aligns with the symptom of sacroiliitis associated with this condition?

A nurse is providing education to a patient newly diagnosed with Ankylosing Spondylitis.Which of the following statements is appropriate for the nurse to include in the teaching plan?

During a nursing assessment of a client with Ankylosing Spondylitis, the nurse notes limited range of motion in the client's spine, resulting in decreased flexibility.Which nursing intervention is appropriate for this client?