A nurse is presenting discharge instructions to a client who has Multiple Sclerosis. The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?

A. "Implement a schedule to include periods of rest.": Fatigue is a common symptom in multiple sclerosis and can worsen other neurologic deficits such as diplopia, dysmetria, and sensory changes. Scheduling rest periods throughout the day helps conserve energy, prevents symptom exacerbation, and improves overall functional capacity during activities of daily living. B. "Wear an eye patch on the right eye at all times.": Intermittent use of an eye patch may help relieve double vision temporarily, but wearing it constantly can contribute to eye strain, visual adaptation issues, and loss of depth perception. Patching should be used selectively rather than continuously. C. "Engage in a vigorous exercise program.": While physical activity is beneficial for strength and mobility, vigorous exercise can increase core body temperature, potentially worsening neurologic symptoms in multiple sclerosis. Exercise should be moderate, individualized, and balanced with rest periods to prevent exacerbation. D. "Plan to relax in a hot tub spa each day.": Heat exposure can temporarily worsen multiple sclerosis symptoms, including fatigue, weakness, and coordination deficits, due to temperature sensitivity of demyelinated neurons. Hot tub use is generally discouraged, and clients should be advised to avoid overheating.