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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A rationale:
"Treatment typically involves surgical joint replacement." Rationale: This statement is not accurate.
While joint replacement surgery may be considered in severe cases of Ankylosing Spondylitis when joint damage is extensive, it is not a typical or first-line treatment option.
Other conservative treatments are usually attempted before considering surgery.
Choice B rationale:
"Physical therapy and exercise are crucial components of managing Ankylosing Spondylitis." Rationale: This statement is correct.
Physical therapy and exercise play a crucial role in managing Ankylosing Spondylitis.
They help improve flexibility, maintain range of motion, and strengthen the muscles supporting the spine, which can reduce pain and disability.
Choice C rationale:
"There are no effective treatments available for Ankylosing Spondylitis." Rationale: This statement is not accurate.
There are several effective treatments available for Ankylosing Spondylitis, including nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), biologic medications, and physical therapy.
Choice D rationale:
"Ankylosing Spondylitis is primarily managed with antibiotics." Rationale: This statement is not accurate.
Ankylosing Spondylitis is not primarily managed with antibiotics.
While bacterial infections may be associated with AS in some cases, the mainstay of treatment is focused on controlling inflammation and managing symptoms with medications and lifestyle interventions.
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