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 C
Explanation
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.
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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