diagnosis of ALS? with atrophy and loss of muscle fiber,
1. Electromyogram (EMG). both characteristic of ALS.
2. Muscle biopsy.
3. Serum creatine kinase (CK).
4. Pulmonary function test.
98. The client is diagnosed with ALS. Which client 1. Disuse syndrome is associated with
problem would be most complications of bedrest. Clients with
appropriate for this client? ALS cannot move and reposition
1. Disuse syndrome. themselves, and they frequently have
2. Altered body image. altered nutritional and hydration
3. Fluid and electrolyte imbalance. status.
4. Alteration in pain.
, 99. The client is being evaluated to rule out ALS. 4. ALS results from the degeneration and
Which signs/symptoms would the demyelination of motor neurons in the
nurse note to confirm the diagnosis? spinal cord, which results in paralysis
1. Muscle atrophy and flaccidity. and weakness of the muscles.
2. Fatigue and malnutrition.
3. Slurred speech and dysphagia.
4. Weakness and paralysis.
100. The client diagnosed with ALS asks the nurse, "I 2. About 50% of clients die within two
know this disease is going to kill (2) to five (5) years from respiratory
me. What will happen to me in the end?" Which failure, aspiration pneumonia, or
statement by the nurse would be another infectious process.
most appropriate?
1. "You are afraid of how you will die?"
2. "Most people with ALS die of respiratory failure."
3. "Don't talk like that. You have to stay positive."
4. "ALS is not a killer. You can live a long life."