To reduce pulmonary complications for a client with Amyotrophic Lateral sclerosis (ALS). Which intervention should the nurse implement?

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NCLEX Neurology Practice Questions Questions

Question 1 of 5

To reduce pulmonary complications for a client with Amyotrophic Lateral sclerosis (ALS). Which intervention should the nurse implement?

Correct Answer: D

Rationale: ALS weakens respiratory muscles; incentive spirometry improves lung expansion, reducing complications. A/C help but are less direct; B is unrelated. [Level: Application]

Question 2 of 5

The nurse implements a change in the approach to the client care after gathering evidence of a new approach. What should the nurse do first?

Correct Answer: A

Rationale: Evidence-based practice starts with staff buy-in and education. Others follow implementation. [Level: Application]

Question 3 of 5

A patient is being admitted with a possible stroke. Which information from the assessment indicates that the nurse should consult with the health care provider before giving a prescribed dose of aspirin?

Correct Answer: C

Rationale: Severe headache suggests hemorrhagic stroke; aspirin (anticoagulant) could worsen bleeding. Others are ischemic stroke features. [Level: Analysis]

Question 4 of 5

Several weeks after a stroke, a 50-yr-old male patient has impaired awareness of bladder fullness, resulting in urinary incontinence. Which nursing intervention should be planned to begin an effective bladder training program?

Correct Answer: B

Rationale: Scheduled voiding (every 2 hours) retrains bladder awareness. C assesses, A/D manage but don’t train. [Level: Application]

Question 5 of 5

Which food would be included in the diet for a patient who had a stroke and has dysphagia?

Correct Answer: C

Rationale: Mashed potatoes are thick, reducing aspiration risk in dysphagia. A/B are thin, D is less common. [Level: Application]

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