If caring for a client with multiple sclerosis, what manifestation should the nurse expect?

When caring for a client with multiple sclerosis (MS), ataxia is a common manifestation due to the disease's impact on the central nervous system. Multiple sclerosis is characterized by demyelination of neurons, which can lead to impaired coordination and balance—hallmarks of ataxia. This can affect the client's ability to walk and perform daily activities with precision, often resulting in a clumsiness or a staggering gait.

While muscle weakness, vision loss, and seizures may occur in MS, ataxia specifically relates to the loss of proprioception and coordination, making it a direct manifestation of the neurological deficits that characterize the condition. The presence of ataxia is indicative of the disease's progression and severity in many patients, reflecting the disruption of communication between the brain and the body's motor pathways. Thus, recognizing ataxia is critical for tailoring appropriate interventions and support for the client.