The nurse massages the client to promote relaxation. Which is a suitable intervention for the nurse to implement during the massage?
1. Use the friction technique over the spine.
2. Assess for pain, anxiety, and discomfort.
3. Instruct client to sit upright and forward.
4. Knead the client's scalp with warm lotion.
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2. The nurse's goal during a massage is to keep the client comfortable and relaxed and induce a lingering sense of well-being and relaxation at the completion of the massage. If the client is in pain, anxious, or uncomfortable, relaxation does not occur until the noxious stimuli is eliminated. The nurse asks the client about pain and com-fort during the massage and does not wait for the client to offer such statements.
1. The friction technique, strong, circular strokes enhancing perfusion at the skin's surface, is contraindicated for bony prominences such as the spine because the re-gional skin is already thin and under tension by nature of its location over a bone. However, the nurse uses the friction technique on the muscles surrounding a bony prominence.
3. Sitting upright and forward can be contraindicated or uncomfortable for the client.
4. Occasionally, the client's scalp is massaged with a few drops of oil on the finger-tips; nonetheless, it is impossible to knead the scalp because the scalp is devoid of large, thick muscles.
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