Editing Nutrition – LPN Practice Questions (section)

==Question 13==
The LPN enters the room of a client receiving a continuous gastric tube feeding and finds the head of the bed flat because the client was repositioned for a linen change. Which action should the LPN take?
# Continue the feeding and raise the head of the bed at the next scheduled turn.
# Stop the feeding permanently and notify the provider.
# Raise the head of the bed to 30 to 45 degrees and continue to monitor the client.
# Disconnect the tube and flush it with 60 mL of cranberry juice.

'''Answer:''' 3. Raise the head of the bed to 30 to 45 degrees and continue to monitor the client.

''Rationale:'' Elevating the head of the bed to at least 30 degrees, and preferably 30 to 45 degrees, is the single most important aspiration precaution during enteral feeding, and it should be corrected as soon as the LPN notices it. The client is then monitored for coughing, respiratory changes, and abdominal distention, and the RN is informed if any appear. Option 1 leaves the client at risk. Option 2 is outside the LPN's authority and is not indicated for a positioning issue that can simply be corrected. Option 4 is wrong because water is the flush of choice; juices and colas do not clear clogs and can worsen them, and the flush volume for routine use is about 30 mL.