What should a nurse report to the provider regarding a client with a temporary synchronous pacemaker?

When a client has a temporary synchronous pacemaker, it's important for the nurse to monitor for any signs that may indicate complications or issues with the device. Hiccups can be significant because they may suggest irritation of the diaphragm, which can occur due to improper lead placement or displacement of the pacemaker lead. This could potentially hinder the effectiveness of the pacemaker, leading to inadequate pacing of the heart. Therefore, reporting the development of hiccups to the provider is crucial as it may require further assessment or intervention.

In contrast, dizziness may occur for various reasons that may or may not be directly related to the pacemaker's function, and while it is important to monitor, it isn't as immediately concerning as hiccups in this context. A client feeling well is a positive sign and does not necessarily require reporting unless new symptoms develop. A metallic taste could be related to other factors such as medications, but it is not as critical to the immediate concerns surrounding the functioning of a pacemaker as the potential issues indicated by hiccups. Thus, reporting the occurrence of hiccups is the most important action for the nurse in this scenario.