When educating the patient with ankylosing spondylitis, the nurse should emphasize which of the following treatment interventions? Select all that apply
A)
Encourage sleeping supine on an extra firm mattress if possible.
B)
Prop self up in bed with extra pillows if having respiratory congestion.
C)
Try using the heating pad prior to exercise to help stretching and improve movement.
D)
Wear a knee immobilizer while biking to facilitate ability to exercise for longer periods.
E)
Modify diet to include more protein from red meats and green vegetables for vitamin K.
Ans:
A, C
Feedback:
Treatment of ankylosing spondylitis is directed at controlling pain and maintaining mobility by suppressing inflammation. Proper posture and position are important. This includes sleeping in a supine position on a firm mattress using one small pillow. Therapeutic exercises are important. Heat applications or a shower or bath may be beneficial before exercise to improve ease of movement. Swimming is an excellent exercise. Immobilizing joints is not recommended. Maintaining ideal weight reduces the stress on weight-bearing joints. However, dietary changes are usually very individualized.
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