An older client undergoing chemotherapy for cancer asks the nurse about using massage for pain relief. How does the nurse best respond? Select all that apply.

1. "We will have to discuss this with your oncologist."
2. "Wait until the chemotherapy is completed."
3. "Massage has many benefits, including relief of pain."
4. "The tumor was removed, so a massage is safe."
5. "Reiki is a good alternative to massage therapy."


1. "We will have to discuss this with your oncologist."
3. "Massage has many benefits, including relief of pain."

Explanation: 1. Massage is generally safe in people with cancer, but the oncologist must be consulted. Massage is contraindicated in clients with low platelet counts, which can be caused by chemotherapy.
2. This response dismisses the client's question. The client may not have to wait. Sometimes the health care provider will approve light massage.
3. Massage does relieve pain and increase general feelings of well-being.
4. Massage over an area of tumor is contraindicated; however, the location of the tumor is not the only consideration.
5. Suggesting Reiki does not address the client's question about massage therapy. If massage is contraindicated, the nurse, client, and provider can discuss Reiki, which uses light touch to promote healing.

Nursing

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