A patient with amyotrophic lateral
sclerosis (ALS) expresses concern about not having enough breath to sing
anymore. Which explanation by the nurse is best? 1. ALS can damage the nerves
to your bronchi and bronchioles, causing constriction and reduced airflow. 2.
The demyelination of your nerves caused by ALS causes confusion in the
impulses to your lungs. 3. ALS can affect your vocal cords, making it
difficult to form sounds as you speak or sing. 4. ALS may be affecting the
nerves that go to your respiratory muscles, making them weak.
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