The nurse has provided education for a client with newly diagnosed ankylosing spondylitis. Which client statements indicate a correct understanding of teaching? Select all that apply.

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11ecbb05_ca19_50bf_b433_6fdfe30c3592_MD0009_00 Ankylosing spondylitis (AS), an inflammatory disease affecting the spine, has no known cause or cure. AS is characterized by stiffness and fusion of the axial joints (eg, spine, sacroiliac), leading to restricted spinal mobility. Low back pain and morning stiffness that improve with activity are the classic findings. Involvement of the thoracic spine (costovertebral) and costosternal junctions can limit chest wall expansion, leading to hypoventilation. The client with AS should: Promote extension of the spine with proper posture, daily stretching, and spine-stretching exercises (eg, swimming, racquet sports) (Option B). Stop smoking and practice breathing exercises to increase chest expansion and reduce lung complications (Option C). Manage pain with moist heat and NSAIDs. Take immunosuppressant and anti-inflammatory medications as prescribed to reduce inflammation and increase mobility. (Option A) It is best to rest during flare-ups. The client should delay exercise until the pain and inflammation are under control. (Option D) Clients with AS are encouraged to sleep on their backs on a firm mattress to prevent spinal flexion and the resulting deformity. (Option E) Ibuprofen and other NSAIDs should be taken with a meal or snack to avoid gastric upset. Educational objective: Ankylosing spondylitis is an inflammatory spinal disease characterized by back pain and morning stiffness that improve with exercise/activity. Chest wall restriction is a serious complication. Treatment is targeted at reducing pain (eg, moist heat, NSAIDs) and maintaining skeletal mobility (eg, proper posture, stretching, breathing exercises) to promote activities of daily living.

The Nurse Has Provided Education for a Client with Newly