A client with Ankylosing Spondylitis reports experiencing back pain and stiffness.
Which statement by the client indicates the need for further education?
"I will try using heat therapy as directed for pain relief.”
"I should avoid physical therapy to prevent worsening of my symptoms.”
"Maintaining good posture will help minimize strain on my spine.”
"I'll ask my healthcare team about assistive devices for mobility.”
The Correct Answer is B
Choice A rationale:
"I will try using heat therapy as directed for pain relief." This statement indicates that the client is willing to try a pain relief method, which is a positive response.
Heat therapy can be a helpful strategy for managing pain in Ankylosing Spondylitis (AS).
Therefore, this statement does not indicate a need for further education.
Choice B rationale:
"I should avoid physical therapy to prevent worsening of my symptoms." This statement is concerning and indicates a need for further education.
Physical therapy is an important part of managing AS, as it helps improve flexibility, maintain joint function, and reduce pain.
Advising the client to avoid physical therapy could lead to worsening symptoms and decreased quality of life.
Choice C rationale:
"Maintaining good posture will help minimize strain on my spine." This statement reflects an understanding of the importance of posture in managing AS.
It is a positive response that shows the client's awareness of proper self-care techniques.
Choice D rationale:
"I'll ask my healthcare team about assistive devices for mobility." This statement is also a positive response, as it indicates the client's willingness to explore options for improving mobility and managing their condition.
Asking the healthcare team about assistive devices is a proactive step in self-care.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Disease-modifying antirheumatic drugs (DMARDs) are not typically considered first-line treatment for Ankylosing Spondylitis.
While they are used in some cases, nonsteroidal anti-inflammatory drugs (NSAIDs) are the primary first-line treatment for reducing inflammation and relieving pain in this condition.
Choice B rationale:
Nonsteroidal anti-inflammatory drugs (NSAIDs) are considered the first-line treatment for Ankylosing Spondylitis.
They help reduce inflammation and alleviate pain in affected individuals.
This class of medication is often effective in managing the symptoms of the disease.
Choice C rationale:
Biologic agents are typically reserved for individuals with Ankylosing Spondylitis who do not respond adequately to NSAIDs or have severe, progressive disease.
They are not the first-line treatment option.
Choice D rationale:
Corticosteroids may be used in some cases to manage acute symptoms or as a short-term intervention, but they are not considered the first-line treatment for Ankylosing Spondylitis due to their potential side effects and limited long-term efficacy.
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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