Practice Quiz

CCRN Nursing Exam Prep - Adult Critical Care

Category - Medical Surgical

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Mr. Gregory, a 55-year-old tailor, is admitted to the hospital complaining of difficulty holding objects. He states that his condition progressively worsened. Based on the initial examination, the physician suspects Amyotrophic Lateral Sclerosis (ALS). The nurse is aware that characteristics of ALS are the following except:
  1. Loss of bowel and urine control
  2. Uncontrolled outburst of crying
  3. Aphagia and dysartria
  4. Fasciculation of the involved muscles
Explanation
Answer - A - Bowel and bladder control of the client remains intact until the end, together with cognition and sensory functions. ALS is a progressive degenerative disease involving the motor neurons of the anterior horn cells, brain stem, and cerebral cortex. It is mainly characterized by weakness and wasting of involved muscles.
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