A nurse is assisting with planning care for a client who has a new diagnosis of multiple sclerosis. Which of the interventions should the nurse recommend?
Explanation & Rationale
A. Recommend frequent hot baths: Heat exposure can worsen multiple sclerosis symptoms by increasing nerve conduction impairment. Hot baths may exacerbate fatigue, weakness, and neurologic deficits, making symptom management more difficult. Clients with MS are advised to avoid excessive heat. B. Encourage the client to restrict performing range-of-motion exercises: Range-of-motion exercises are encouraged to maintain flexibility, prevent contractures, and support mobility in clients with multiple sclerosis. Restricting movement can lead to muscle stiffness and functional decline. Activity should be balanced with rest, not avoided. C. Initiate contact precautions: Multiple sclerosis is a noninfectious, autoimmune neurologic disorder and does not require isolation precautions. Implementing contact precautions is unnecessary and may negatively impact the client’s psychosocial wellbeing. Standard precautions are sufficient. D. Monitor the client's ability to perform ADLs: Multiple sclerosis can cause progressive physical and cognitive changes that affect self-care abilities. Monitoring activities of daily living helps identify functional decline early and guides referrals for occupational therapy and adaptive strategies. Ongoing assessment supports individualized care planning and safety.