The nurse is caring for a client who was recently diagnosed with Ankylosing Spondylitis.
Which of the following symptoms would the nurse expect in this client?
generalized malaise
joint inflammation and pain in the ankles
deformities of fingers and toes
progressive stiffening of the back
The Correct Answer is D
A. While generalized malaise can occur with inflammatory conditions, it is not a hallmark symptom of ankylosing spondylitis.
B. Ankylosing spondylitis primarily affects the spine and sacroiliac joints, not typically the ankles.
C. Deformities of fingers and toes are not characteristic of ankylosing spondylitis; they are more commonly associated with conditions like rheumatoid arthritis.
D. Ankylosing spondylitis is characterized by progressive stiffness and fusion of the spine, leading to decreased mobility and flexibility, especially in the lower back.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Species immunity refers to immunity shared by all members of a species to certain pathogens, which is not the case here.
B. Natural immunity refers to immunity that is acquired naturally, often through exposure to a pathogen such as contracting mumps during childhood.
C. Artificially acquired immunity is acquired through deliberate actions such as vaccination, which does not apply in this scenario.
D. Passive immunity is temporary immunity transferred from one individual to another, such as through maternal antibodies passed to an infant, which does not apply in this case.

Correct Answer is A
Explanation
A. Neutropenic precautions are implemented when the white blood cell count is significantly decreased, typically below 1,000/mm3, to protect the client from potential infections due to compromised immunity.
B. Hematocrit level and hemoglobin levels are indicators of red blood cell function and oxygen-carrying capacity and are not directly related to neutropenia.
C. Hemoglobin levels are an indicator of oxygen-carrying capacity and are not directly related to neutropenia.
D. Platelet count is related to clotting function and is not directly related to neutropenia.
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