The nurse is preparing a plan of care for a client with a diagnosis of amyotrophic lateral sclerosis (ALS). On assessment, the nurse notes that the client is severely dysphagic. Which intervention would be included in the care plan for this client? Select all that apply.
1.Provide oral hygiene after each meal.
2.Assess swallowing ability frequently.
3.Allow the client sufficient time to eat.
4.Maintain a suction machine at the bedside.
5.Provide a full liquid diet for ease in swallowing.
1.Provide oral hygiene after each meal.
2.Assess swallowing ability frequently.
3.Allow the client sufficient time to eat.
4.Maintain a suction machine at the bedside.
The nurse is reviewing the record for a client seen in the health care clinic and notes that the primary health care provider has documented a diagnosis of amyotrophic lateral sclerosis (ALS). Which initial clinical manifestation of this disorder would the nurse expect to see documented in the record?
1.Muscle wasting
2.Mild clumsiness
3.Altered mentation
4.Diminished gag reflex
2.Mild clumsiness