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    RN Comprehensive Predictor Proctored Exam (National U CA San Diego)

    A nurse is reviewing home care with a client who has multiple sclerosis. Which of the following precautions should the nurse recommend to promote client safety?

    Explanation & Rationale

    Rationale: A. Walk with feet close together for stability: Walking with feet close together increases the risk of loss of balance and falls in clients with multiple sclerosis (MS). A wider stance provides greater stability and a safer base of support when ambulating. B. Implement a rigorous range-of-motion exercise plan: While exercise is beneficial, a rigorous plan can lead to fatigue and exacerbate MS symptoms. Activities should be moderate and spaced with rest periods to prevent overexertion, which can worsen weakness and spasticity. C. Use a cane for support while walking: Using a cane provides additional balance and stability, helping to prevent falls. Clients with MS often experience muscle weakness and impaired coordination, so assistive devices like canes or walkers promote safe mobility and independence. D. Avoid the use of orthotics: Orthotic devices can be very helpful for clients with MS who experience foot drop or lower extremity weakness. Avoiding orthotics removes a potential source of support and increases the risk of tripping and falling during ambulation.

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