The nurse has completed a back massage for a client. What should the nurse document about this procedure?

1. Effectiveness of pain medication using a rating scale from 0 to 10.
2. Position to perform the massage.
3. Content of communication that occurred during the back massage.
4. Amount of lotion used during the back massage.
5. Client response.


Correct Answer: 2,5
Rationale 1: Effectiveness of pain medication is not a part of the documentation of a back massage.
Rationale 2: The nurse should document the position in which the massage was performed on the client.
Rationale 3: The content of communication that occurred during the back massage is not necessary to document.
Rationale 4: The amount of lotion used during the back massage is not necessary to document.
Rationale 5: The nurse should document the client's response to the massage.

Nursing

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