A client who is recently diagnosed with amyotrophic lateral sclerosis (ALS) is to be discharged home. The nurse should teach the family to:
1. monitor the client's urine output at home.
2. check the client's level of consciousness frequently.
3. check bony prominences and reposition the client every 2 hours.
4. serve the client a high red meat diet.
Answer: 3
1. It is not necessary to monitor the client's urine output, but the family is encouraged to provide good hydration.
2. Clients with ALS maintain their mental acuity.
3. The client is usually bedridden, and should be turned every 2 hours and monitored for breakdown on bony prominences.
4. Clients with ALS lose their ability to swallow, and could aspirate on pieces of meat.
You might also like to view...
Some clients are at increased risk of being dually diagnosed with a mental health disorder and a substance abuse disorder
The client with a mental health disorder that is more likely to exhibit substance abuse in an attempt to avoid traumatic memories is the client with: 1. PTSD. 2. Dissociative fugue. 3. OCD. 4. Generalized anxiety disorder.
A child with pertussis is in the catarrhal stage of the disease. Which assessment findings correlate with this condition? (Select all that apply.)
A. Chronic cough lasting weeks B. Intense cough causing vomiting C. Low-grade fever D. Sweating and fatigue after coughing E. Upper respiratory symptoms
A home health patient with end-stage renal disease (ESRD) has a nursing diagnosis of powerlessness related to life-altering disease. Which nursing intervention would be most helpful?
a. Ensure restricted protein intake to prevent nitrogenous product accumulation. b. Include the patient in making the plan of care. c. Counsel patient about end-of-life provisions. d. Write out a detailed schedule of physician's appointments.
An emergency room nurse is caring for an older patient brought in by a neighbor. The neighbor states that the patient lives with a son who "drinks a lot."
What does the nurse assess that suggests elder neglect? Standard Text: Select all that apply. 1. Thick, yellow fingernails 2. Pressure ulcer on the sacrum 3. Dry, cracked lips and tongue 4. Small skin tears to the right elbow 5. Cracked, dry skin on the lower legs bilaterally