A client with advanced ALS is admitted to the hospital. Because of manifestations that are common in clients with ALS, the nurse should

a. attempt to institute bowel-training activities.
b. provide the client with small, frequent feedings.
c. obtain an order for intermittent catheterization.
d. orient the client to his or her surroundings frequently.


B
The course of the disease is relentlessly progressive. Cognition, as well as bowel and bladder sphincters, remains intact. The client may be malnourished because of dysphagia. Encourage small, frequent, high-nutrient feedings. The nurse should assess for aspiration and choking. A feeding tube may be considered during the course of the illness.

Nursing

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