Question

A nurse is caring for a patient who has AMYOTROPIC lateral sclerosis and is being a bit it to the hospital with pneumonia. Which of the following assessment findings is the nurses priority?

A. Temperature 38.4°C 101.1°F
B. Increased respiratory secretions
C. Fluid intake of 200 ML in the prior eight hours
D. Limited range of motion

Answer 1

The nurse's priority assessment finding in this case would be increased respiratory secretions.

Step-by-step explanation:

The nurse's priority assessment finding in this case would be Increased respiratory secretions. In a patient with Amyotrophic Lateral Sclerosis (ALS) who is being admitted to the hospital with pneumonia, increased respiratory secretions can indicate worsening respiratory function and potential airway obstruction. This is particularly important in ALS patients who already have compromised respiratory function.