A nurse is assessing a client who has been receiving massage therapy as a manipulative and body-based therapy for chronic neck pain. Which of the following statements by the client indicates a positive outcome of massage therapy?

The correct answer is

A. "I feel more relaxed and less tense after the massage."

Choice A reason: "I feel more relaxed and less tense after the massage." This is a positive outcome of massage therapy, as it indicates that the massage has reduced the stress and muscle tension that may contribute to neck pain. Massage therapy may also stimulate the release of endorphins and other neurochemicals that can enhance the mood and sense of well-being.

Choice B reason: "I have more energy and less fatigue after the massage." This is not a specific outcome of massage therapy for chronic neck pain, although it may be a general benefit of massage therapy for overall health and wellness. Massage therapy may improve blood circulation and oxygen delivery, which can boost energy levels and reduce fatigue.

Choice C reason: "I have more mobility and less stiffness in my neck after the massage." This is not a consistent outcome of massage therapy for chronic neck pain, although it may be a possible benefit for some patients. Massage therapy may increase the range of motion and joint space, which can improve mobility and reduce stiffness. However, the evidence for this effect is not strong or conclusive.

Choice D reason: "I have more confidence and less depression after the massage." This is not a direct outcome of massage therapy for chronic neck pain, although it may be an indirect benefit of massage therapy for mental health. Massage therapy may reduce anxiety, depression, and negative emotions, and increase self-esteem, self-awareness, and coping skills.

The correct answer

A. Garlic, which may increase the risk of bleeding with anticoagulants

B. Ginseng, which may lower blood glucose levels with antidiabetic agents

C. Valerian, which may cause excessive sedation with benzodiazepines

D. Chamomile, which may cause allergic reactions with penicillins

Choice A reason: Garlic, which may increase the risk of bleeding with anticoagulants. Garlic has antiplatelet and fibrinolytic effects that can potentiate the action of anticoagulants, such as warfarin, heparin, or aspirin. This can increase the risk of bleeding and bruising.

Choice B reason: Ginseng, which may lower blood glucose levels with antidiabetic agents. Ginseng may have hypoglycemic effects that can enhance the action of antidiabetic agents, such as insulin, metformin, or sulfonylureas. This can increase the risk of hypoglycemia and its symptoms.

Choice C reason: Valerian, which may cause excessive sedation with benzodiazepines. Valerian has sedative and anxiolytic effects that can augment the action of benzodiazepines, such as diazepam, lorazepam, or alprazolam. This can increase the risk of excessive sedation, drowsiness, and impaired cognition.

Choice D reason: Chamomile, which may cause allergic reactions with penicillins. Chamomile may contain cross-reactive allergens that can trigger allergic reactions in patients who are allergic to penicillins, such as amoxicillin, ampicillin, or piperacillin. This can cause symptoms such as rash, itching, swelling, or anaphylaxis.

Choice E reason: Ginger, which may reduce nausea and vomiting with antiemetics. Ginger has antiemetic effects that can complement the action of antiemetics, such as ondansetron, metoclopramide, or promethazine. This can reduce the symptoms of nausea and vomiting caused by various conditions or treatments.