A patient has poor nutrition and has started feeding after several days of starvation. Which electrolyte disturbance is the nurse especially alert for during refeeding?
Correct answer: A. Low serum phosphate
- A. Low serum phosphate
- B. High serum calcium
- C. Low serum chloride
- D. High serum sodium
Explanation
Refeeding can cause a rapid shift of phosphate into cells as carbohydrate metabolism increases, producing hypophosphataemia. This may lead to muscle weakness, respiratory failure and cardiac complications, so phosphate and other electrolytes require close monitoring.
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About Nutrition, Fluids and Electrolytes
Coverage includes nutrients and balanced diets, therapeutic feeding, enteral and parenteral nutrition, intake and output, dehydration, fluid overload and fluid balance calculations. Questions also examine sodium, potassium, calcium and chloride disturbances, their signs and nursing care, while distinguishing enteral feeding through the gastrointestinal tract from parenteral nutrition.
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50 free Nutrition, Fluids and Electrolytes MCQs from Fundamentals of Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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