After explaining active progressive relaxation to the client as a potentially useful technique to help manage anxiety, a nurse guides a client through the experience of "active progressive relaxation." The nurse tells the client that:
1. This relaxation technique can be used by anyone at any time.
2. This relaxation technique is useful for postoperative clients.
3. Muscles of the neck and back should not be excessively tightened.
4. This is a safe process and nothing bad can happen.
3
Rationale: The nurse should counsel clients to observe some cautions while carrying out this technique. To avoid soft tissue and spinal injury, the muscles of the neck and back should not be excessively tightened. Tightening the muscles of the toes and feet too vigorously could also result in uncomfortable muscle cramps. Clients with cardiac arrhythmias should be cautioned against vasovagal stimulation by tensing muscles too tightly. Active progressive relaxation should be avoided with postoperative clients because it could increase pain in the postoperative period. Teach these clients passive progressive relaxation instead.
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