The nurse identifies which of the following as a manifestation of emotional lability in patients with Amyotrophic Lateral Sclerosis (ALS)?

Decreased motivation and apathy.

Increased irritability and anger.

Heightened anxiety and restlessness.

Inappropriate sadness and tearfulness.

Answer and Explanation

The Correct Answer is D

A. Decreased motivation and apathy: While decreased motivation and apathy can be seen in some neurological conditions, they are not typical manifestations of emotional lability in ALS. Emotional lability in ALS typically involves sudden and exaggerated emotional responses, such as inappropriate crying or laughing, rather than apathy.

B. Increased irritability and anger: Increased irritability and anger are not characteristic of emotional lability in ALS. Emotional lability is more about unpredictable and disproportionate emotional reactions, such as inappropriate laughing or crying, rather than a constant irritability or anger.

C. Heightened anxiety and restlessness: Anxiety and restlessness may occur in ALS, but they are not typically the hallmark signs of emotional lability. Emotional lability in ALS primarily involves sudden, exaggerated emotional responses.

D. Inappropriate sadness and tearfulness:Emotional lability in ALS is characterized by sudden, uncontrollable episodes of inappropriate sadness, tearfulness, or laughter, often without an apparent cause. This is a result of the brain's inability to regulate emotions due to the progressive damage of motor neurons in ALS.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Do not use positive end expiratory pressure (PEEP):PEEP is commonly used in ARDS management to prevent alveolar collapse and improve oxygenation. It helps keep the airways open during expiration, which is critical for patients with ARDS.

B. Use high rates of ventilation: High ventilation rates are generally avoided in ARDS as they can increase the risk of ventilator-induced lung injury. ARDS patients require controlled ventilation with careful attention to oxygen levels and carbon dioxide removal, not excessive ventilation rates.

C. Place client in Trendelenburg position: The Trendelenburg position (head down, feet elevated) is not recommended for ARDS patients. This position can increase intracranial pressure and may worsen oxygenation. The prone position is preferred for ARDS management to improve oxygenation.

D. Use low but adequate tidal volume: In ARDS, a low tidal volume strategy (typically 6 mL/kg of ideal body weight) is recommended to minimize ventilator-induced lung injury. It helps prevent overdistension of the alveoli and improves lung protection, which is crucial for ARDS patients.

A. Blood pressure is 92/50 B. Serum potassium is 5.1 mEq/L C. Heart rate is 90 beats/minute D. T wave depression on the electrocardiogram

Correct Answer is A

Explanation

A. Blood pressure is 92/50: Nitroglycerin is a vasodilator, and one of its common side effects is a reduction in blood pressure. A blood pressure of 92/50 indicates hypotension, which could be dangerous, especially in a patient with a myocardial infarction. The nurse should report this immediately as further reduction in blood pressure could lead to inadequate perfusion of vital organs, including the heart, and worsen the patient’s condition.

B. Serum potassium is 5.1 mEq/L: A serum potassium level of 5.1 mEq/L is within the normal range (3.5–5.0 mEq/L). While potassium imbalances can affect cardiac function, this level is not dangerously high and would not warrant immediate intervention.

C. Heart rate is 90 beats/minute: A heart rate of 90 beats per minute is within normal limits for an adult. It does not require immediate intervention in the context of a myocardial infarction unless there are signs of arrhythmias or other concerning changes.

D. T wave depression on the electrocardiogram: T wave depression can be a normal finding in patients with myocardial infarction, especially in the early stages. While it can indicate ischemia, it does not require immediate reporting unless there are more severe changes on the ECG or the patient’s condition deteriorates.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse identifies which of the following as a manifestation of emotional lability in patients with Amyotrophic Lateral Sclerosis (ALS)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What key feature should the nurse be aware of when ventilating clients with acute respiratory distress syndrome (ARDS)?

Correct Answer is D

Explanation

The nurse is to begin a nitroglycerin infusion for a client diagnosed with an anterior wall myocardial infarction. Which assessment finding should the nurse report to the physician immediately?

Correct Answer is A

Explanation

The nurse is caring for a patient diagnosed with Myasthenia Gravis (MG) prescribed plasmapheresis for treatment. Which statement by the nurse includes accurate education? "Plasmapheresis....

A nurse is providing discharge teaching to a patient who will be taking levodopa/carbidopa for Parkinson's Disease (PD). Which of the following statements by the patient indicates a need for further teaching?

The nurse administers IV nitroglycerin to a client diagnosed with an acute myocardial infarction. In evaluating the effectiveness of this intervention, the nurse should monitor for

The nurse is caring for a client with hypercapnic respiratory failure. The client is lethargic & slow to follow commands. Current vitals: BP 78/52. pulse 132. respirations 8, and pulse ox 84% on 35% Venturi mask. The nurse would anticipate which medical prescription?

Which of the following patients diagnosed with Myasthenia Gravis would the nurse identify as most at risk for developing a cholinergic crisis? A patient who:

To safely transport a client with chest tube drainage to the x-ray department to assess the degree of lung re-expansion, the nurse would:

A client had a traumatic brain injury from a bicycle accident 3 months ago. The client's partner states "Every few days I use a different approach to help them remember things but nothing seems to stick. The nurse's best reply is:

A nurse is providing care for a client who experienced a myocardial infarction prior to a cardiac arrest. Which of the following laboratory tests will identify early injury to the cardiac muscle?