60. Client reports pain during feeding. You SHOULD:
Answer: D
You should inform the charge nurse.
Informing the charge nurse is crucial when a client reports pain during feeding, as this may indicate a need for further assessment and potential intervention by medical staff.
A) offer ice chips.
Offering ice chips may provide temporary relief for some types of discomfort, but it does not address the underlying issue causing the pain during feeding. This option fails to ensure proper evaluation and management of the client's condition.
B) lower head of bed & reposition.
Lowering the head of the bed and repositioning the client could be beneficial in some scenarios, yet it does not directly address the report of pain. Moreover, without informing the charge nurse, the root cause of the pain might remain unexamined.
C) skip next feeding.
Skipping the next feeding may seem like a solution to avoid exacerbating the pain, but it does not contribute to understanding the reason behind the pain. This option could lead to further complications if the underlying issue is not assessed by a nurse.
D) inform charge nurse.
Informing the charge nurse is the best course of action as it ensures that the client's pain is evaluated by a qualified professional. This allows for appropriate interventions to be initiated based on the client's needs and medical status.
Conclusion
The correct answer, informing the charge nurse, is essential for ensuring the client receives proper care in response to their reported pain. All other options fail to address the critical need for assessment and intervention, which can significantly impact the client's overall well-being and recovery.