The nurse massages the patient to promote relaxation. Which is a suitable intervention for the nurse to implement during the massage?
a. Use the friction technique over the spine.
b. Assess for pain, anxiety, and discomfort.
c. Instruct the patient to sit upright and for-ward.
d. Knead the patient's scalp with warm lo-tion.
B
The nurse's goal during a massage is to keep the patient comfortable and relaxed and induce a lingering sense of well-being and relaxation at the completion of the massage. If the patient is in pain, anxious, or uncomfortable, relaxation does not occur until the noxious stimuli are eliminated. The nurse asks the patient about pain and comfort during the massage and does not wait for the patient to offer such statements. The friction technique (i.e., strong, circular strokes enhancing perfusion at the skin's surface) is contraindicated for bony prominences such as the spine because the regional skin is already thin and under tension by nature of its location over a bone. Sitting upright and forward can be contraindicated or uncomfortable for the patient. Occasionally the patient's scalp is massaged with a few drops of oil on the fingertips; it is impossible to knead the scalp because the scalp is devoid of large, thick muscles.
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