Question

The nurse is assessing a 48-year-old client diagnosed with multiple sclerosis. Which clinical manifestation warrants immediate intervention?

1. The client has scanning speech and diplopia.
2. The client has dysarthria and scotomas.
3. The client has muscle weakness and spasticity.
4. The client has a congested cough and dysphagia.

Answer 1

Muscle weakness and spasticity warrant immediate intervention in a client diagnosed with multiple sclerosis.

Step-by-step explanation:

The clinical manifestation that warrants immediate intervention in a client diagnosed with multiple sclerosis is muscle weakness and spasticity.

Multiple sclerosis (MS) is an autoimmune central nervous system disease that affects the brain and spinal cord. It is characterized by the destruction of the myelin sheath, leading to disrupted neuronal signaling. Symptoms of MS can vary but typically include visual disturbances; impaired coordination and balance; muscle weakness; and numbness or tingling sensations.

However, muscle weakness and spasticity can be particularly concerning as they may indicate the progression of the disease and pose a risk for falls and injuries. Immediate intervention, such as physical therapy and medication adjustments, can help manage these symptoms and prevent further complications.