Health Promotion and Maintenance Q 67
The nurse is providing information to a client with multiple sclerosis on performing exercises and physical activities. The nurse determines the client needs additional teaching if the client makes which statements? Select all that apply.
A. “I can lift weights and do resistance training.”
B. “I should exercise to the point of exhaustion.”
C. “I can include aerobic exercises in my routine.”
D. “Proper stretching should be done before starting my routine.”
E. “I should exercise continuously without rest.”
Correct answers: B & E.
Option B: Patients with multiple sclerosis should not exercise to the point of fatigue as strenuous physical exercise raises body temperature and may aggravate symptoms.
Option E: Continuous exercise with no rest periods is contraindicated for patients with multiple sclerosis who wants to exercise. The patient should be advised to take short rest periods, preferably lying down. Again, extreme fatigue may contribute to the exacerbation of symptoms.
Option A: Exercises should include activities that would strengthen weak muscles because diminishing muscle strength is often a primary concern in multiple sclerosis. These activities include lifting weights and resistance exercises.
Option C: Aerobic exercises help promote muscle efficiency, increase flexibility, improves mood, and helps eliminate stress.
Option D: Muscle stretching should be included prior to exercise as this helps minimize muscle spasticity and contractures which is common in later stages of multiple sclerosis.