The unlicensed assistive personnel (UAP) who is caring for a postoperative client reports to the charge nurse that the client is not using the incentive spirometer effectively. Which action should the charge nurse implement?

A. UAPs can remind clients to use the device but cannot teach or evaluate technique. Teaching requires nursing judgment. B. Delaying intervention increases the risk of postoperative pulmonary complications. This issue should be addressed promptly. C. Teaching and reinforcing correct use of an incentive spirometer requires assessment of the client’s understanding, clinical judgment, evaluation of technique. These are nursing responsibilities and cannot be delegated to UAP. A practical nurse (PN/LPN) is licensed and can reinforce teaching that has already been initiated by the RN. Since the client is postoperative, proper use of the incentive spirometer is important to prevent complications such as atelectasis and pneumonia. Prompt reinforcement is appropriate. D. Advising that the respiratory therapist is responsible shifts responsibility inappropriately; incentive spirometer education is within the scope of nursing care and can be reinforced by trained UAPs.