A nurse assesses a client with a neurologic disorder. Which assessment finding should the nurse identify as a late manifestation of amyotrophic lateral sclerosis (ALS)?
a. Dysarthria
b. Dysphagia
c. Muscle weakness
d. Impairment of respiratory muscles
ANS: D
In ALS, progressive muscle atrophy occurs until a flaccid quadriplegia develops. Eventually, the respiratory muscles are involved, which leads to respiratory compromise. Dysarthria, dysphagia, and muscle weakness are early clinical manifestations of ALS.
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1. Allow the patient to rest. 2. Measure intake and output. 3. Measure the patient's weight. 4. Contact the physician for further evaluation and treatment.
Which action taken by an interviewer is most likely to encourage a patient to continue talking?
a. sitting quietly and patiently in silence b. saying "uh-huh" or "go on" c. avoiding eye contact while straightening your clothes d. talking on the phone
In the first trimester, ultrasonography can be used to gain information on:
a. Amniotic fluid volume. b. Uterine abnormalities. c. Placental location and maturity. d. Cervical length.
It is reasonable to recommend supplementation with _________ in the treatment of hyperlipidemia
1. Omega-3 fatty acids 2. Probiotics 3. Plant sterols 4. Calcium