Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which nursing intervention is appropriate for managing this condition?
A. Encouraging the patient to avoid all physical activity to prevent joint damage.
"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.
B. Administering corticosteroids to suppress the immune response.
"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.
C. Teaching the patient exercises to improve posture and flexibility.
"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.
D. Recommending a high-sugar diet to boost energy levels.
"Recommending a high-sugar diet to boost energy levels." Rationale: Recommending a high-sugar diet is not appropriate. Ankylosing S . Questions
This question is an excerpt from Nurse Dive's nursing test bank - Ankylosing Spondylitis. Take the full exam now
Full Explanation
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 .
Questions
Similar Questions
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?
A. "My pain is constant throughout the day.”
The hallmark symptom of Ankylosing Spondylitis is lower back pain and stiffness that worsens in the morning or after periods of inactivity but improves with physical activity. This is known as inflammatory back pain, which is characteristic of Ankylosing Spondylitis. The pain is typically most severe in the morning and gradually improves with activity as the day progresses. This pattern is due to the inflammatory nature of the condition, and it distinguishes Ankylosing Spondylitis from other causes of lower back pain.
B. "My pain is worse with physical activity.”
This statement is incorrect. Pain in Ankylosing Spondylitis typically worsens with inactivity and improves with physical activity, which is the opposite of what is described here.
C. "My pain is relieved by heat therapy.”
This statement is incorrect. Heat therapy may provide some temporary relief for muscle tension or minor aches, but it is not the primary method of relieving pain associated with Ankylosing Spondylitis.
D. "My pain radiates to my buttocks.”
This statement is incorrect. Pain radiating to the buttocks is not the hallmark symptom of Ankylosing Spondylitis. While some individuals with the condition may experience radiating pain, it is not the defining characteristic of the disease.
Full Explanation
Choice A rationale:
The hallmark symptom of Ankylosing Spondylitis is lower back pain and stiffness that worsens in the morning or after periods of inactivity but improves with physical activity.
This is known as inflammatory back pain, which is characteristic of Ankylosing Spondylitis.
The pain is typically most severe in the morning and gradually improves with activity as the day progresses.
This pattern is due to the inflammatory nature of the condition, and it distinguishes Ankylosing Spondylitis from other causes of lower back pain.
Choice B rationale:
This statement is incorrect.
Pain in Ankylosing Spondylitis typically worsens with inactivity and improves with physical activity, which is the opposite of what is described here.
Choice C rationale:
This statement is incorrect.
Heat therapy may provide some temporary relief for muscle tension or minor aches, but it is not the primary method of relieving pain associated with Ankylosing Spondylitis.
Choice D rationale:
This statement is incorrect.
Pain radiating to the buttocks is not the hallmark symptom of Ankylosing Spondylitis.
While some individuals with the condition may experience radiating pain, it is not the defining characteristic of the disease.
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?
A. "My buttock pain only occurs after physical activity.”
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.
B. "My hip pain is worse in the morning.”
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.
C. "My thigh pain improves with rest.”
This statement is incorrect. Pain in the thighs is not typically associated with Ankylosing Spondylitis, and it does not improve with rest.
D. "My buttock pain sometimes extends to my hips.”
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.
Full Explanation
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.
A nurse is educating a client about the pharmacological management of Ankylosing Spondylitis.
Which class of medications is considered the first-line treatment to reduce inflammation and relieve pain in this condition?
A. Disease-modifying antirheumatic drugs (DMARDs).
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.
B. Nonsteroidal anti-inflammatory drugs (NSAIDs).
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.
C. Biologic agents.
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.
D. Corticosteroids.
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.
Full 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.