The early manifestations of amyotrophic lateral sclerosis (ALS) and multiple sclerosis (MS) are somewhat similar. What clinical feature of ALS distinguishes it from MS?
A. Dysarthria
B. Dysphagia
C. Muscle weakness
D. Impairment of respiratory muscles
D
In ALS, there is progressive muscle atrophy until a flaccid quadriplegia develops. Eventually, there is involvement of the respiratory muscles, which leads to respiratory compromise.
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The nurse is caring for a thin, elderly client who was diagnosed with cancer and is receiving aggressive chemotherapy. The client is experiencing acute side effects, and has lost 10 pounds in the past week
The nurse teaches the client to: (Select all that apply.) Standard Text: Select all that apply. 1. Drink liquid supplements to increase intake of nutrients. 2. Eat more warm foods and avoid cold foods. 3. Keep a food diary and record intake. 4. Eat small, frequent meals high in calories. 5. Purchase fast foods and prepared foods.
A family of a young girl who has been diagnosed with leukemia has travelled 12 hours by car to admit her to the ICU and be with her during her treatment
Which aspect of the critical care family assistance program would most likely be needed by this family initially? A) Educational materials B) Weekly group family information sessions C) Hospitality programs D) Pet therapy
A 68-year-old woman tells the nurse that her breasts are sagging, she no longer menstruates, and sexual intercourse is sometimes uncomfortable. What information should the nurse include in responding to this client?
a. The client should see a physician because these are not normal changes associated with aging. b. Suggest that the client try using a water-soluble lubricant before intercourse. c. Cessation of menses is normal, but the other changes are not. d. Sexual intercourse at this age is not necessary; avoid it if it is uncomfortable.
A client with diabetes mellitus who has been taught about dietary management of the disease wishes to have 8 oz of nonfat yogurt with breakfast. The nurse determines that the client understands diet management when the client states that which action will be taken after eating the nonfat yogurt?
A. Not eating ice cream for 2 days B. Omitting 8 oz of skim milk from that meal C. Omitting salad dressing and butter at lunchtime D. Eating only half of an allowed meat product at supper