A client who is 2 days postoperative for thoracic surgery is reporting incisional pain 2 hours after receiving pain medication. The client rates the pain as 5 on a 0 to 10 scale. After placing a call to the healthcare provider, which action should the nurse implement?

Tune to a television show or easy listening music to provide distraction.

Place a hot water circulation device, such as an Aqua K pad, to operative site.

Provide at least 20 minutes of back massage and gentle effleurage.

Instruct the client to use guided imagery and slow rhythmic breathing.