The nurse should expect to assess which finding in a patient with ALS who is experiencing bulbar involvement?
A) Choking
B) Hyperreflexia
C) Fasciculations
D) Slow movements
A) Choking
Explanation: A) Progression of bulbar symptoms leads to poor nutrition and dehydration and to choking on food or on the person's own secretions and aspiration.
B) Hyperreflexia occurs with upper motor neuron involvement.
C) Fasciculations (muscle twitching) occur with lower motor neuron involvement.
D) Upper motor neuron involvement produces a slowness of movement.
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