Question 60

You should inform the charge nurse.

Reporting pain during feeding indicates a possible complication that requires further assessment and intervention. Informing the charge nurse is essential for ensuring the client receives appropriate care and monitoring.

A) offer ice chips.

Offering ice chips may provide temporary relief for oral discomfort; however, it does not address the underlying cause of the pain during feeding. Additionally, administering ice chips could interfere with the feeding process and may not be suitable for all clients, making this option less appropriate.

B) lower head of bed & reposition.

Lowering the head of the bed and repositioning the client might help with comfort during feeding, but this action alone does not address the reported pain. It may also not resolve any potential medical issues that need to be evaluated by a healthcare professional, making it an insufficient response.

C) skip next feeding.

Skipping the next feeding could lead to further complications such as nutritional deficits or increased anxiety for the client. This option does not provide a solution to the pain experienced and fails to involve appropriate nursing intervention, making it an inadequate choice.

D) inform charge nurse.

Informing the charge nurse is the best course of action as it allows for a comprehensive assessment and potential intervention based on the client’s reported pain. This step ensures that the situation is escalated appropriately to address any underlying issues that may require further attention.

Conclusion

Informing the charge nurse is the most effective response to a client reporting pain during feeding, as it facilitates proper evaluation and intervention. Other options, while they may offer temporary relief or comfort, fail to address the necessity of professional assessment and could lead to further complications. Thus, D is the most appropriate choice in this scenario.