A nurse is caring for a client who has multiple sclerosis (MS). Which of the following statements by the client indicates an understanding of this condition?

Choice A reason:

This is a correct answer, as bladder control is regulated by nerves that originate from the sacral region of the spinal cord, which is below T6.

Choice B reason:

This is an incorrect answer, as respiratory rate is regulated by nerves that originate from the cervical and thoracic regions of the spinal cord, which are above T6.

Choice C reason:

This is a correct answer, as heart rate is regulated by nerves that originate from the thoracic and lumbar regions of the spinal cord, which are below T6.

Choice D reason:

This is an incorrect answer, as arm movement is regulated by nerves that originate from the cervical region of the spinal cord, which is above T6.

Choice E reason:

This is a correct answer, as leg movement is regulated by nerves that originate from the lumbar and sacral regions of the spinal cord, which are below T6.

Choice A reason:

This is incorrect because wearing tight-fitting shoes can cause pressure ulcers, blisters, or infections in clients with peripheral neuropathy, who have reduced sensation and blood flow in their feet. The nurse should advise the client to wear well-fitting shoes with cushioned socks and avoid walking barefoot.

Choice B reason:

This is incorrect because using a heating pad can cause burns or skin damage in clients with peripheral neuropathy, who have impaired temperature perception and pain sensation in their affected areas. The nurse should advise the client to avoid exposure to extreme heat or cold and use other methods to relieve pain, such as medications, massage, or acupuncture.

Choice C reason:

This is the correct answer because inspecting the skin daily for cuts, blisters, or ulcers can help prevent infection and complications in clients with peripheral neuropathy, who have reduced sensation and healing ability in their affected areas. The nurse should advise the client to wash their skin with mild soap and water, apply moisturizer, and report any signs of infection to their provider.

Choice D reason:

This is incorrect because taking vitamin B supplements can help prevent or treat peripheral neuropathy caused by vitamin B deficiency, which can occur in clients who receive chemotherapy. The nurse should advise the client to consult with their provider before taking any supplements and follow a balanced diet that includes foods rich in vitamin B, such as meat, eggs, dairy products, and fortified cereals.