A nurse is providing education to a patient newly diagnosed with Ankylosing Spondylitis.
Which of the following statements is appropriate for the nurse to include in the teaching plan?
"You should avoid exercise to prevent further joint stiffness.”
"Heat therapy is not recommended for pain relief.”
"Proper body mechanics and posture are not essential.”
"Using assistive devices can improve your mobility and reduce fall risk.”
The Correct Answer is D
Choice A rationale:
"You should avoid exercise to prevent further joint stiffness." This statement is not appropriate for the nurse to include in the teaching plan.
Exercise is actually important for individuals with Ankylosing Spondylitis (AS) to maintain joint flexibility and mobility.
Encouraging exercise is a key aspect of managing AS.
Avoiding exercise can lead to increased joint stiffness and decreased mobility, which is contrary to the goals of treatment.
Choice B rationale:
"Heat therapy is not recommended for pain relief." This statement is not accurate.
Heat therapy, such as warm baths or heating pads, can be recommended for pain relief in individuals with AS.
Heat helps to relax muscles, reduce pain, and improve mobility in AS patients.
Therefore, the nurse should not provide this incorrect information to the patient.
Choice C rationale:
"Proper body mechanics and posture are not essential." This statement is incorrect.
Proper body mechanics and posture are essential for individuals with Ankylosing Spondylitis.
Maintaining good posture and using proper body mechanics can help prevent further spinal deformities and reduce pain.
The nurse should emphasize the importance of these practices in the teaching plan.
Choice D rationale:
"Using assistive devices can improve your mobility and reduce fall risk." This is the correct answer.
Using assistive devices, such as canes or walkers, can indeed improve mobility and reduce the risk of falls for individuals with AS.
These devices provide stability and support when walking, which is especially important for those with spinal involvement in AS.
Therefore, this statement should be included in the teaching plan to provide helpful advice to the patient.
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Related Questions
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.
Correct Answer is C
Explanation
Choice A rationale:
"Avoid exercise to prevent joint stiffness." This statement is not accurate and is not a part of the recommended management for Ankylosing Spondylitis (AS).
Exercise is crucial in managing AS to prevent joint stiffness and maintain mobility.
Therefore, the nurse should not provide this advice.
Choice B rationale:
"Don't worry about your posture; it won't affect your condition." Proper posture is essential in managing AS to prevent further spinal deformities and reduce pain.
This statement is not accurate and should not be included in the nurse's advice to the patient.
Choice C rationale:
"Early diagnosis and prompt treatment are essential." This is the correct answer.
Early diagnosis and prompt treatment are indeed essential in managing AS.
Starting treatment early can help slow the progression of the disease and improve the patient's quality of life.
Therefore, the nurse should emphasize the importance of early intervention.
Choice D rationale:
"Smoking can help reduce the risk of severe symptoms." This statement is completely inaccurate and should not be included in the nurse's advice.
Smoking is detrimental to overall health and can worsen the symptoms of AS.
The nurse should strongly advise against smoking for AS patients.
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