A client with relapsing-remitting multiple sclerosis is admi… | MyMerci
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Management of Care

A client with relapsing-remitting multiple sclerosis is admitted for an acute exacerbation with new right-sided weakness and optic neuritis. Which interventions should the nurse anticipate? Select all that apply.

Select All That Apply

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Explanation
Acute MS relapse is treated with high-dose IV methylprednisolone (typically 1 gram daily for 3-5 days), which shortens but does not change long-term outcome. Infection screening is essential because pseudo-relapse from infection mimics true relapse and steroids in unrecognized infection are harmful. Fall and mobility precautions are routine. Disease-modifying therapy is generally CONTINUED — a single relapse on therapy is not an automatic indication to stop. HEAT worsens MS symptoms (Uhthoff phenomenon); cooling techniques are preferred.
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