Discuss the three neuromuscular disorders involving the nervous system, which directly or indirectly affect the muscles also
a. What do they have in common?
b. What is the nursing process for these disorders?
Students' answers should include the following:
• Neuromuscular disorders affecting both nervous system and muscular system
• Multiple sclerosis
• Amyotrophic lateral sclerosis (ALS)
• Myasthenia gravis
a. All are chronic and progressively debilitating.
MS affects peripheral nerves of age group 20 to 40 years, men and women equally.
MS degenerates myelin tissue.
Myasthenia gravis affects one or more skeletal muscle groups.
Autoimmune in type
Depends on muscles affected; usually respiratory is also affected
ALS is a progressive and fatal disorder; degeneration of motor neurons of spinal cord and brain stem
Muscle wasting and weakness
ALS has no diagnostic testing available.
b. Assess pulmonary status; watch for opportunistic infections.
Measure I&Os.
Keep client in Fowler's position; support arms on pillows.
Fluids in small, frequent amounts
Rest before meals.
You might also like to view...
A patient's lab results are as follows: increased urobilingogen, albumin of 20 g/L (decreased from normal), globulin of 39 g/L (increased from normal), and transferrin of 198 mcg/dL (decreased from normal)
Which gastrointestinal disorder do these results most strongly indicate? A) Cirrhosis B) Acute pancreatitis C) Ulcerative colitis D) Escherichia coli infection
A licensed practical/vocational nurse (LPN/LVN) is assisting in developing a nursing care plan for a patient in shock. Which nursing diagnosis should be included?
a. Increased cardiac output, related to hypertension b. Increased cardiac output, related to hypo-tension c. Decreased cardiac output, related to hy-povolemia d. Decreased cardiac output, related to hypertension
From an interpersonal theory perspective, which intervention would a nurse use to assist a client diagnosed with major depressive disorder?
A. Encourage discussion of feelings B. Offer family therapy sessions C. Discuss childhood events D. Teach alternate coping skills
Of the following, persons, who is most likely to receive Medicaid benefits if the family income is below the poverty level?
a. A 16-year-old child b. A pregnant woman with a 3-year-old child c. A single-parent family d. A two-parent family in which the father is unemployed