Answer choices
- A offer ice chips.
- B lower head of bed & reposition.
- C skip next feeding.
- D inform charge nurse.
Correct answer: D. inform charge nurse.
Clinical Rationale
Inform the charge nurse.
When a client reports pain during feeding, it is crucial to inform the charge nurse to assess the situation further and ensure appropriate interventions are taken. This communication is essential for patient safety and effective care management.
A) Offer ice chips.
While offering ice chips may provide temporary relief for some types of discomfort, it does not address the underlying issue causing the pain during feeding. Administering ice chips without proper assessment could delay necessary interventions and potentially worsen the client's condition.
B) Lower head of bed & reposition.
Repositioning the client and lowering the head of the bed might help alleviate discomfort for certain conditions, but this action should be taken based on a thorough evaluation of the client's symptoms. Without informing the charge nurse first, the nurse may not have the necessary guidance to implement the most effective care strategy.
C) Skip next feeding.
Skipping the next feeding may seem like a way to prevent further discomfort, but it is not a sustainable or appropriate solution. This approach does not address the source of the pain and could lead to nutritional deficits or complications related to inadequate feeding, making it a less favorable option.
D) Inform charge nurse.
Informing the charge nurse is the best course of action because it allows for a comprehensive assessment of the client's condition. The charge nurse can then decide on the necessary interventions, whether it involves further evaluation, adjustments to feeding techniques, or other clinical measures to ensure the client's safety and comfort.
Conclusion
In situations where a client experiences pain during feeding, the priority should be to inform the charge nurse. This ensures that the client receives appropriate evaluation and care tailored to their specific needs. While other options may provide temporary measures, they do not replace the importance of professional assessment and intervention in promoting patient safety and comfort.