The practical nurse (PN) is checking residual volume prior to the administration of a bolus feeding to a client with a percutaneous endoscopic gastrostomy (PEG) tube when the unlicensed assistive personnel (UAP) reports that another client has requested pain medication for postoperative pain. Which action should the PN take?
Explanation & Rationale
A. Have the UAP notify the client in pain that the PN will be in to check on the client after completing the procedure in progress: Pain assessment and medication administration require licensed personnel. The PN should finish the current task and promptly address the client in pain. B. Finish measuring the residual and assign the UAP to provide the bolus feeding so the PN can administer an analgesic: UAPs cannot administer tube feedings unless trained and delegated appropriately, and in most settings, PEG bolus feeding is the PN’s responsibility. C. Tell the UAP that the client's pain will subside when the client is not disturbed: Ignoring or delaying pain relief is inappropriate and unethical. D. Ask the UAP to finish measuring the residual volume while the PN assesses the pain level of the surgical client: Measuring gastric residual requires clinical judgment and is a PN responsibility, not a UAP task.