A client with stiffness and muscle tension in the back declines the offer of a back rub. What action should the nurse take?
1. Encourage the client to accept the back rub, saying how much it will relax the back muscles.
2. Document that the client is noncompliant with the nursing plan of care.
3. Accept the declination but tell the client to call if one is desired later.
4. Instruct assistive personnel to rub the client's back while assisting to change into a clean gown.
Answer: 3. Accept the declination but tell the client to call if one is desired later.
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