The nurse is caring for a client with amyotrophic lateral sclerosis (ALS) who is hospitalized with pneumonia. Which of the following actions should be included in the plan of care?
A)Assist with active range of motion.
B)Observe for agitation and paranoia.
C)Give muscle relaxants as needed to reduce spasms.
D)Use simple words and phrases to explain procedures.

Question

Quizplus · Accepted Answer

ALS causes progressive muscle weakness. Clients should be guided to use moderate-intensity, endurance-type exercises for the trunk and limbs, since this may help reduce ALS spasticity. When hospitalized with other health concerns, it is important to complete ROM to maintain strength. Psychotic symptoms such as agitation and paranoia are not associated with ALS. Cognitive function is not affected by ALS, and the client's ability to understand procedures will not be impaired. Muscle relaxants will further increase muscle weakness and depress respirations.

The Nurse Is Caring for a Client with Amyotrophic Lateral