A client who has amyotrophic lateral sclerosis (ALS) has a ...

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A client who has amyotrophic lateral sclerosis (ALS) has a nursing diagnosis of Ineffective breathing patterns related to weakness of respiratory muscles and fatigue. Which goal is appropriate for this diagnosis?
 
  a. Client will experience less fatigue.
  b. Client will maintain highest functional ability within limitations of the disease.
  c. Client will maintain adequate PaO2 levels.
  d. Client will swallow with minimal choking and coughing, and no aspiration.

Question 2

Which factor frequently precipitates exacerbations of a client's symptoms of multiple sclerosis?
 
  a. paresthesia
  b. blind spots or flashing lights in one or both eyes
  c. exposure to extreme cold
  d. periods of emotional or physical stress

[leannegxo]

Answer to Question 1

C
The nursing goal related to the weakness of respiratory muscles and fatigue should be to maintain adequate oxygenation levels as indicated by PaO2 levels.

Answer to Question 2

D
Multiple sclerosis (MS) can affect the myelin sheath of brain or spinal cord tissue, or both. Manifestations of MS vary according to the area of demyelination; the disease is characterized by remission and exacerbation due to periods of emotional or physical stress. Symptoms include motor difficulties (e.g., decreased muscle strength, spasticity, paralysis), sensory issues (e.g., visual disturbances, numbness, paresthesia), and other disturbances (e.g., mood changes, sexual dysfunction).