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?
"My buttock pain only occurs after physical activity.”
"My hip pain is worse in the morning.”
"My thigh pain improves with rest.”
"My buttock pain sometimes extends to my hips.”
The Correct Answer is D
Choice A rationale:
This statement is incorrect.
Buttock pain in Ankylosing Spondylitis is not solely related to physical activity; it can occur at any time, and it often worsens with inactivity or prolonged periods of sitting.
Choice B rationale:
This statement is not entirely accurate.
While pain in the hips can occur in Ankylosing Spondylitis, it is not limited to the morning.
The hallmark feature is morning stiffness in the lower back.
Choice C rationale:
This statement is incorrect.
Pain in the thighs is not typically associated with Ankylosing Spondylitis, and it does not improve with rest.
Choice D rationale:
This statement aligns with the symptom of sacroiliitis, which is a common feature of Ankylosing Spondylitis.
Pain in the buttocks can indeed extend to the hips in individuals with this condition, especially when the inflammation affects the sacroiliac joints.
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:
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.
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