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

Diarrhea during enteral feedings has multiple causes including hyperosmolar formula, infection, or medications; assessment guides the appropriate intervention.

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

Organ meats and shellfish are high in purines, which metabolize to uric acid and can trigger gout attacks.

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

Flushing with warm water helps clear partial tube occlusion and restore patency without damaging the tube or gastric mucosa.

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

Post-operative bowel surgery patients typically begin with clear liquids and advance gradually as bowel function returns to prevent complications.

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

Consistent daily vitamin K intake helps maintain stable INR levels, as fluctuations in intake can alter warfarin's anticoagulant effect.

LPN - Licensed Practical Nurse Practice Test

LPN - Licensed Practical Nurse Practice Test

LPN Therapeutic Diets and Enteral Feedings 4