A nurse is providing teaching to a client who has multiple sclerosis. Which of the following statements should the nurse include in the teaching?

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.

Rationale:
A. "I need to be discharged now due to household responsibilities.": This statement reflects denial of the seriousness of preeclampsia and poor coping, as the client is prioritizing home duties over health. Clients with preeclampsia require rest, monitoring, and adherence to medical advice to prevent complications such as eclampsia or HELLP syndrome.

B. "I am so bored of being on restricted activity.": Expressing boredom is a normal emotional reaction but does not indicate effective coping. It shows frustration with activity limitations rather than acceptance and constructive adaptation to the treatment plan.

C. "I am using a notebook to record questions for my providers.": Keeping a notebook demonstrates proactive engagement and self-management. This behavior reflects effective coping, as the client is taking responsibility for understanding their condition and participating in care decisions to promote safety and adherence.

D. "I don't want any visitors while I'm here.": Avoiding social support may indicate withdrawal or emotional distress. Isolation can hinder coping and increase anxiety, whereas maintaining open communication and support networks usually improves adjustment to the condition.