A client with multiple sclerosis is being discharged from rehabilitation. Which statement would the nurse include in the client's discharge teaching?

Choice C rationale Fatigue is a common and often debilitating symptom of multiple sclerosis, linked to demyelination and impaired nerve conduction requiring more energy for impulse transmission. The nurse should emphasize energy conservation techniques, including frequent, planned rest periods throughout the day, even before feeling exhausted, to prevent or minimize the impact of fatigue and help the client maximize daily function and participation in activities. Choice A rationale While urinary incontinence is a common symptom due to sphincter or detrusor muscle dysfunction in MS, encouraging constant use of absorbent undergarments is not the primary intervention. The nurse should first teach bladder training, scheduled voiding, and fluid management, as relying solely on briefs can negatively affect skin integrity, self-esteem, and social participation, minimizing independence. Choice B rationale Mobility limitations vary greatly among individuals with multiple sclerosis. Advising all clients to use a wheelchair in public is an overgeneralization that can prematurely limit independence. Teaching should focus on assessing current mobility, using appropriate assistive devices like canes or walkers when needed, and ensuring home safety to maintain the highest possible functional level. Choice D rationale Sexual dysfunction, including decreased libido and sensation, is common in MS. However, advising abstinence is inappropriate. The nurse should provide counseling on managing fatigue and motor symptoms during intimacy, exploring alternative forms of expression, and seeking specialized support to address sexual health concerns and maintain relationship quality.