Editing Nutrition – LPN Practice Questions (section)

==Question 4==
The LPN is assisting a client who is receiving a continuous tube feeding. Which finding should the LPN report to the registered nurse '''immediately'''?
# The client's last bowel movement was yesterday morning.
# The client reports the formula tastes unpleasant when burping.
# The client begins coughing and has moist-sounding respirations.
# The feeding pump alarm sounded once and reset after repositioning the tubing.

'''Answer:''' 3. The client begins coughing and has moist-sounding respirations.

''Rationale:'' Coughing with wet-sounding respirations during a tube feeding suggests aspiration, which is a life-threatening airway problem. The LPN should stop the feeding, keep the head of the bed elevated, turn the client to the side, and notify the RN immediately. Option 1 is normal bowel frequency and needs only routine monitoring. Option 2 is an uncomfortable but non-urgent complaint. Option 4 describes a pump alarm that resolved with a simple mechanical fix and requires documentation and continued observation, not an urgent report.