A patient who is newly diagnosed with ALS says to the nurse, “I do not want to be kept alive on machines.” Which nursing action is best in response?
a. Ask the patient if he has advance directives, and provide information about preparing them.
b. Reassure the patient that he will not need to make decisions about machines for a long time.
c. Inform the patient that individuals with ALS are not candidates for artificial ventilation.
d. Explain to the patient that a ventilator will be necessary to keep him breathing as his disease progresses.
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