LPN Therapeutic Diets and Enteral Feedings 2

Question 1

A patient on a mechanical soft diet has difficulty swallowing pills. Which action by the LPN is most appropriate?

Accepted Answer

Consult the pharmacist about liquid or crushable alternatives

Answer

Crush all medications and mix with applesauce

Answer

Withhold medications until the patient can swallow better

Answer

Break all capsules open and sprinkle contents on food

Question 2

Which laboratory value is most important to monitor in a patient receiving long-term enteral nutrition via nasogastric tube?

Accepted Answer

Serum albumin and prealbumin

Answer

Serum calcium

Answer

Serum potassium only

Answer

Complete blood count only

Question 3

A patient with chronic kidney disease is placed on a renal diet. Which food should the LPN instruct the patient to AVOID?

Accepted Answer

Bananas and oranges

Answer

White rice

Answer

Pasta with olive oil

Answer

Eggs

Question 4

The LPN is caring for a patient receiving continuous tube feedings. The patient's residual volume is 280 mL. What is the correct action?

Accepted Answer

Stop the feeding and notify the nurse or provider

Answer

Continue the feeding at the same rate

Answer

Discard the residual and continue feeding

Answer

Increase the feeding rate to compensate

Question 5

A patient with celiac disease asks the LPN which grain is safe to consume. Which response is correct?

Accepted Answer

Rice

Answer

Wheat

Answer

Barley

Answer

Rye

Question 6

Which action should the LPN take FIRST before initiating a bolus tube feeding?

Accepted Answer

Check tube placement and residual volume

Answer

Elevate the head of the bed to 30–45 degrees

Answer

Flush the tube with 60 mL of water

Answer

Warm the formula to room temperature

Question 7

A patient on a low-sodium diet receives a lunch tray. Which item indicates a dietary error that the LPN should address?

Accepted Answer

Canned vegetable soup

Answer

Fresh fruit salad

Answer

Unsalted crackers

Answer

Plain baked chicken breast