The nurse is developing a bowel-retraining plan for a client with multiple sclerosis. Which measure is likely to be least helpful to the client: A. Limiting fluid intake to \(1000 \mathrm{~mL}\) per day B. Providing a high-roughage diet C. Elevating the toilet seat for easy access D. Establishing a regular schedule for toileting

First, let's analyze each measure and determine their potential benefits or drawbacks for a client with multiple sclerosis. A. Limiting fluid intake to \(1000 \mathrm{~mL}\) per day: Fluid intake plays a role in digestion, as adequate hydration helps with bowel movements. If the client is dehydrated, it will make bowel retraining more difficult. B. Providing a high-roughage diet: High-roughage diets include fiber-rich foods that assist with digestion and bowel movements. This option is beneficial for the client's bowel-retraining program. C. Elevating the toilet seat for easy access: Multiple sclerosis can cause mobility issues, and an elevated toilet seat may help the client with easier access to the toilet, promoting independent toileting during the bowel retraining program. D. Establishing a regular schedule for toileting: Regularly scheduling toileting helps the client's body adapt to a specific routine, making it easier to achieve successful bowel retraining.

Based on our analysis in Step 1, the option that is likely to be least helpful to the client is: A. Limiting fluid intake to \(1000 \mathrm{~mL}\) per day The reason is that adequate fluid intake is crucial for proper digestion and bowel movements. Limiting fluid intake to \(1000 \mathrm{~mL}\) per day might cause dehydration, making bowel retraining more challenging for the client. The other options - providing a high-roughage diet, elevating the toilet seat, and establishing a regular schedule for toileting - are beneficial measures for a bowel-retraining plan.