Which intervention would the nurse suggest including in the plan of care for a client with amyotrophic lateral sclerosis (ALS) experiencing muscle weakness and difficulty swallowing and speaking?

A. Encourage fluid intake.
B. Sit the client in a chair for meals.
C. Use an alphabet board to communicate.
D. Start the client on a weight-lifting program.

The nurse would recommend using an alphabet board for communication, encouraging fluid intake, and positioning the client in a chair for meals to address muscle weakness and difficulty swallowing and speaking in ALS.

Explanation:

The nurse would suggest including the intervention of using an alphabet board to communicate in the plan of care for a client with ALS who is experiencing muscle weakness and difficulty swallowing and speaking.

This method allows the client to effectively communicate despite speech difficulties, ensuring their needs are met and enhancing their quality of life.

Additionally, encouraging fluid intake is essential to prevent dehydration, and sitting the client in a chair for meals aids in safe swallowing and digestion.

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