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NCLEX Question of the Day
Review the question, check the correct answer, and read the rationale before tomorrow's prompt arrives.
A patient diagnosed with amyotrophic lateral sclerosis (ALS) is showing signs of respiratory distress. What is the priority nursing intervention?
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Initiating cardiopulmonary resuscitation (CPR) immediately.
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Administering high-dose corticosteroids to reduce inflammation.
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Correct answer Assessing respiratory rate, rhythm, and effort, and notifying the healthcare provider.
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Administering a bronchodilator to ease breathing.
Rationale
In ALS, progressive degeneration of motor neurons affects voluntary muscle movement including muscles involved in breathing. Respiratory distress may indicate worsening muscle function and requires prompt assessment and notification of the healthcare provider for further evaluation and management. Bronchodilators and corticosteroids aren't typically used to manage respiratory problems in ALS, and CPR should be initiated only if the patient has no pulse and/or is not breathing.
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