The nurse is assisting with care of a resident diagnosed with amyotrophic lateral sclerosis (ALS). Which assessment findings does the nurse anticipate? (Select all that apply.)
a. Progressive weakness
b. Pill-rolling tremor
c. Ascending paralysis
d. Hemiparesis
e. Decreased coordination of extremities
f. Bradykinesia
ANS: A, E
Primary symptoms of ALS include progressive muscle weakness and decreased coordination of arms, legs, and trunk. Atrophy of muscles and twitching (fasciculations) also occur. Pill-rolling tremor and bradykinesia are symptoms of Parkinson's disease. Ascending symptoms occur in Guillain-Barré syndrome. Paralysis on one side of the body occurs in strokes.
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