LPN Therapeutic Diets and Enteral Feedings 4

Question 1

A patient develops diarrhea 24 hours after starting enteral feedings. Which intervention should the LPN implement first?

Accepted Answer

Assess for infection, medications, and formula concentration as causes

Answer

Increase the feeding rate to replace lost fluids

Answer

Discontinue feedings permanently

Answer

Switch to oral intake immediately

Question 2

The LPN is teaching a patient with gout about dietary modifications. Which food should the patient be instructed to limit?

Accepted Answer

Organ meats and shellfish

Answer

Low-fat dairy products

Answer

Fresh vegetables and fruits

Answer

Whole grain breads

Question 3

A patient's nasogastric tube feeding is infusing by gravity drip. The LPN notes the drip rate has slowed. Which action is appropriate?

Accepted Answer

Flush the tube with 30 mL of warm water and recheck patency

Answer

Increase head-of-bed elevation to 90 degrees

Answer

Aspirate vigorously with a 60 mL syringe

Answer

Replace the NG tube immediately

Question 4

Which therapeutic diet is appropriate for a patient in the early post-operative period following bowel surgery?

Accepted Answer

Clear liquid diet progressing to regular as tolerated

Answer

High-fiber diet

Answer

High-protein, high-calorie diet from day one

Answer

Pureed diet with added fiber supplements

Question 5

A patient on warfarin therapy asks about vitamin K intake. The LPN correctly explains that the patient should:

Accepted Answer

Keep vitamin K intake consistent from day to day

Answer

Eliminate all vitamin K from the diet immediately

Answer

Increase vitamin K-rich foods to boost anticoagulation

Answer

Avoid all green vegetables permanently

Question 6

The LPN notes the enteral feeding formula container has been hanging for 10 hours. What should the LPN do?

Accepted Answer

Discard the formula and replace with a fresh container per policy

Answer

Continue the infusion since it has not expired yet

Answer

Refrigerate the remaining formula and resume later

Answer

Add more formula to the partially full container

Question 7

A patient with liver cirrhosis is placed on a protein-restricted diet. The LPN knows this restriction is intended to reduce:

Accepted Answer

Serum ammonia levels and risk of hepatic encephalopathy

Answer

Blood glucose levels

Answer

Fluid retention and ascites

Answer

Serum triglyceride levels