A nurse is assessing a client with suspected Ankylosing Spondylitis.
The client complains of lower back pain and stiffness that worsens in the morning or after periods of inactivity but improves with physical activity.
Which statement accurately describes the hallmark symptom of Ankylosing Spondylitis?

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.

Choice A rationale:

"Encouraging the patient to avoid all physical activity to prevent joint damage." Rationale: This statement is not appropriate.

While rest during periods of active inflammation may be necessary, complete avoidance of physical activity is not recommended.

Physical activity and exercise, when tailored to the individual's condition, can help maintain joint flexibility and reduce pain in Ankylosing Spondylitis.

Choice B rationale:

"Administering corticosteroids to suppress the immune response." Rationale: Corticosteroids may be used in the short term to control acute inflammation in Ankylosing Spondylitis but are not typically used as a long-term treatment due to their side effects.

They are not a primary intervention for managing the condition.

Choice C rationale:

"Teaching the patient exercises to improve posture and flexibility." Rationale: This statement is appropriate.

Teaching the patient exercises to improve posture and flexibility is an essential nursing intervention for managing Ankylosing Spondylitis.

These exercises can help maintain spinal mobility and reduce the risk of deformities.

Choice D rationale:

"Recommending a high-sugar diet to boost energy levels." Rationale: Recommending a high-sugar diet is not appropriate.

Ankylosing S .

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