A nurse is caring for a client who has amyotrophic lateral sclerosis (ALS) and is being admitted to the hospital with pneumonia. Which of the following assessment findings is the nurse’s priority

Increased respiratory secretion More test answers on https://studyhippo.com/med-surg-practice-b-2016-ati/

A client with amyotrophic lateral sclerosis (ALS) tells the nurse, “Sometimes I feel so frustrated. I can’t do anything without help!” This comment best supports which nursing diagnosis?

Powerlessness More test answers on https://studyhippo.com/neurosensory-disorders-nclex-3000/

An SLP is providing services to adults with neurogenic disorders of communication. Of the following clients, which will likely have the most favorable management prognosis? (A) John, who has a brain injury resulting in a slight concussion (B) Jim, who has a traumatic brain injury resulting in paralysis (C) Juan, who has amyotrophic lateral sclerosis (D) Helen, who has Huntington’s chorea

(A) is correct. The disorder is most limited in scope among those mentioned and, therefore, most likely to be amenable to therapy or treatment. (B) is incorrect because the problem described is diffused or dispersed throughout the head with major impairments to the nerves. (C) and (D) are incorrect because the disorders mentioned are progressive in nature. More test answers on https://studyhippo.com/praxis-ets-slp/

ALS: Amyotrophic Lateral Sclerosis

Lou Gehrig’s disease The brain is smart and active, the body cannot move Too much glutamate causes motor neurons to die More test answers on https://studyhippo.com/exam-2-neurochemistry/

Lou Gehrig’s Disease(Amyotrophic Lateral Sclerosis)

-Neurologically degenerative, rapidly progressive and fatal -Weakness and wasting of muscles that are under voluntary control -No accompanying sensory or cognitive changes -Muscle atrophy results from motor neuron degeneration and sclerosis of the corticospinal tract in the lateral column of the spinal cord Amyotrophy = without muscle nutrition or progressive muscle wasting/atrophy More test answers on https://studyhippo.com/pathophysiology-neurological/

ALS – amyotrophic lateral sclerosis (LMN and UMN)

Definition – neurodegenerative disease, rapid progressive muscle wasting eventually resulting in difficulty speaking swallowing and breathing Classification – UMN and LMN disease S&S – starts at hands and cranial nerves and atrophy of the thumb webbing, 75% start in arms or legs Investigations – EMG fibrillations and sharp +ve waves, El Escorial criteria = more than 3 regions of body affected Treatment – riluzole (glutamate receptor antagonist) adds 3/12, BiPAP, gastic tube, multidisciplinary PT and OT Notable – PLS (primary lateral sclerosis) is UMN form and PMA (progressive muscular atrophy) is LMN form of ALS More test answers on https://studyhippo.com/neurology-differential-diagnosis/

The nurse is giving change-of-shift report for four clients in the emergency center and reports the client with the terminal disease has a living will and a “Do not resuscitate” (DNR) order on file. Which client fits the criteria for a terminal illness? A. 2-year-old child with esophageal burns from drinking drain cleaner who now has a gastrostomy tube. B. 76-year-old female client with Alzheimer’s disease who is pacing the halls and trying to “go home”. C. 52-year-old male client who had a partial lobectomy and on a ventilator on the 2 postoperative day. D. 43-year-old male with amyotrophic lateral sclerosis who is refusing artificial nutrition or hydration.

D More test answers on https://studyhippo.com/hesi-management-practice-test-test-answers/

A 51-year-old client with amyotrophic lateral sclerosis (Lou Gehrig’s disease) is admitted to the hospital because his condition is deteriorating. The client tells the nurse that he wants a do-not-resuscitate (DNR) order. The nurse should tell the client that:

The DNR request should be discussed with the physician, who will write the order Rationale: A client may request a DNR order after being given the appropriate information by the physician. Therefore, if a client requests a DNR order the nurse should contact the physician so that the physician may discuss the request with the client. A DNR order should be written, not verbal. The pertinent agency and state guidelines must be followed with regard to when a verbal DNR order is acceptable. Therefore the other options are incorrect. More test answers on https://studyhippo.com/management-of-care-5/

Home Page Science Biology Anatomy Amyotrophic Lateral Sclerosis

Amyotrophic Lateral Sclerosis Flashcards, test questions and answers

Q: amyotrophic lateral sclerosis (ALS)

a degenerative disease in which patients become progressively weaker until they are completely paralyzed; also known as Lou Gehrig’s disease More test answers on https://studyhippo.com/medical-terminology-chapter-10-the-nervous-system-2/

Q: Amyotrophic Lateral Sclerosis (ALS)-

-Describes a group of progressive, degenerative neuromuscular diseases, no remission -Destruction of motor neurons within the spinal cord, brainstem & motor cortex -Rapidly progressive disease with life expectancy of 3-5 years after symptom onset -20-25% of people with ALS experience cognitive changes More test answers on https://studyhippo.com/als-cancer-end-of-life-issues/

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What is Amyotrophic Lateral Sclerosis?

Amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig’s disease, is a progressive neurological disorder that affects the nerve cells in the brain and spinal cord. It’s a degenerative disorder, meaning it gets worse over time. ALS results in muscle weakness, muscle atrophy and eventually paralysis. As the muscles become weaker, people with ALS may find it difficult to speak and breathe normally. ALS is caused by damage to the motor neurons that connect the brain to muscles throughout the body. Motor neurons are specialized nerve cells responsible for sending signals from the brain to muscles, which allow us to move our arms and legs or perform other movements. When these neurons are damaged or stop functioning correctly due to ALS, messages from the brain can no longer reach our muscles and we lose control of them. The exact cause of ALS is unknown but research suggests that both genetic and environmental factors may play a role in its development. Some gene mutations have been associated with an increased risk of developing ALS but they only account for a small percentage of cases overall. Other potential risk factors include exposure to toxins such as lead or mercury, traumatic injuries or viral infections like HIV/AIDS. Unfortunately there is no cure for ALS at this time but treatments can help reduce symptoms and improve quality of life for those affected by it. These treatments include medications such as riluzole which can slow down progression; physical therapy which helps maintain mobility; speech therapy which improves communication; respiratory care which helps manage breathing difficulties; nutritional support which aids digestion; occupational therapy which restores function; psychological support which helps cope with emotional stressors ;and home-care services such as nursing care or assistance with daily activities .