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PN Daily #75 · Gastrointestinal · Archive

NCLEX-PN® question of the day

A weekly study planner, a short checklist, and a pencil on a paper deskA little time to study.MTWTFTODAY'S NEXT STEP

The question

A 68-year-old man with esophageal stricture and Parkinson disease is at the nutrition clinic for a prescribed 240-mL gastrostomy feeding. His swallowing plan also allows supervised minced-moist snacks and nectar-thick liquids. He is alert and reclined about 15 degrees. The residual measured before the previous feeding was 40 mL. The LPN has not yet completed the tube checks required by his feeding plan. Which action should the LPN take first?

  1. Start the prescribed formula at a slower rate because the previous gastric residual was small.
  2. Offer a thin-liquid drink to moisten his mouth before beginning the prescribed gastrostomy feeding.
  3. Change his snack order to regular solids because he tolerated the modified snacks at the last visit.
  4. Raise the recliner and complete the tube checks in his feeding plan before administering the formula.

Today's and yesterday's questions are open to everyone. Older questions in the archive open with a free account, and the rationale for every option appears once you answer.